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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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