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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

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