Barker, Connie Rae

Barker, Connie Rae is an individual health care provider with primary practice located at 1139 E Sonterra Blvd Suite 405, San Antonio TX 78258-4347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Barker, Connie Rae can be contacted via phone (210) 404-0000.

Contact Information

Primary practice address
1139 E Sonterra Blvd Suite 405 San Antonio TX 78258-4347
Phone: (210) 404-0000
Fax: (210) 404-2812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 225474 Texas

Profile Details

NPI number 1184628638
LBN Legal business name Barker, Connie Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 2nd, 2014 - about 11 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 1184628638 NPPES
Texas MEDICAID 039630102
Texas MEDICAID 039630104
Texas Other 884N89
Texas MEDICAID 0396301-01
Texas Other P01164922

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