Maddox, Barney T

Maddox, Barney T is an individual health care provider with primary practice located at 811 W Interstate 20 Suite G22, Arlington TX 76017-5870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Maddox, Barney T can be contacted via phone (817) 784-0818.

Contact Information

Primary practice address
811 W Interstate 20 Suite G22 Arlington TX 76017-5870
Fax: (817) 804-8176
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X F4232 Texas

Profile Details

NPI number 1568458958
LBN Legal business name Maddox, Barney T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 14th, 2016 - about 8 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 1568458958 NPPES
Texas Other 123489009 MEDICAID OTHER
Texas MEDICAID 123489006 MEDICAID OTHER
Texas MEDICAID 123489010 MEDICAID OTHER
Texas MEDICAID 123489007 MEDICAID OTHER
Texas MEDICAID 123489008 MEDICAID OTHER

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