Provider Demographics
NPI:1104261072
Name:BARBARA PLACE
Entity type:Organization
Organization Name:BARBARA PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLINTONA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:POWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-482-7160
Mailing Address - Street 1:7814 JANE LONG RD
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-4102
Mailing Address - Country:US
Mailing Address - Phone:940-482-7160
Mailing Address - Fax:
Practice Address - Street 1:512 CHISHOLM TRL
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-1078
Practice Address - Country:US
Practice Address - Phone:940-482-7160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty