Barnes, Madge L

Barnes, Madge L is an individual health care provider with primary practice located at 2950 W Camp Wisdom Rd Ste 100 , Grand Prairie TX 75052-4461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Barnes, Madge L can be contacted via phone (972) 352-2937.

Contact Information

Primary practice address
2950 W Camp Wisdom Rd Ste 100 Grand Prairie TX 75052-4461
Fax: (972) 352-2996
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K6810 Texas

Profile Details

NPI number 1679526875
LBN Legal business name Barnes, Madge L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 24th, 2018 - about 7 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 1679526875 NPPES
Texas MEDICAID 1379331-02
Texas Other P01398099
Texas MEDICAID 060810106
Texas Other 8CT555

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