Barham, Jo Carroll

Barham, Jo Carroll is an individual health care provider with primary practice located at 5010 Crenshaw Rd Suite #130, Pasadena TX 77505-3097. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Barham, Jo Carroll can be contacted via phone (281) 991-2200.

Contact Information

Primary practice address
5010 Crenshaw Rd Suite #130 Pasadena TX 77505-3097
Phone: (281) 991-2200
Fax: (281) 991-7700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 429306 Texas

Profile Details

NPI number 1083717458
LBN Legal business name Barham, Jo Carroll
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083717458 NPPES
Texas Other 0046CC MEDICARE RPK GROUP #
Texas Other 8717UA MEDICARE RPK GROUP #
Texas MEDICAID 139992531 MEDICARE RPK GROUP #

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