Basic Information
Provider Information
NPI: 1689612541
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNHART
FirstName: JAMES
MiddleName: ALAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 840853
Address2:  
City: DALLAS
State: TX
PostalCode: 752840853
CountryCode: US
TelephoneNumber: 9727151999
FaxNumber: 9722333666
Practice Location
Address1: 6606 LBJ FWY
Address2: SUITE 200
City: DALLAS
State: TX
PostalCode: 75240
CountryCode: US
TelephoneNumber: 9727155000
FaxNumber: 9727159976
Other Information
ProviderEnumerationDate: 06/03/2006
LastUpdateDate: 10/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XF6417TXY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
8EH09401TXBCBSOTHER


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