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Stephen H. Barth
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NPI Number Detailed Information
Provider Information:
| Name: | Stephen H. Barth |
| Gender: | M |
| Provider License Number If Given: | E9061 |
NPI Information:
| NPI: | 1700885225 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 10/10/2007 |
Provider Business Mailing Address:
| Address: | 3301 S ALAMEDA ST #204 Corpus Christi, TX 78411 |
| Phone Number: | 3618534191 |
| Fax Number: | 3618538768 |
Provider Business Practice Location Address:
| Address: | 3301 S ALAMEDA ST #204 Corpus Christi, TX 78411 |
| Phone Number: | 3618534191 |
| Fax Number: | 3618538768 |
Provider Taxonomy:
| Primary: | 207QA0505X |
| Secondary (if any): | |
| State: | TX |
