Provider Demographics
NPI:1366925091
Name:HALBAEDIER, BARTON JAMES (FNP-C)
Entity type:Individual
Prefix:
First Name:BARTON
Middle Name:JAMES
Last Name:HALBAEDIER
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 CALVARY RD
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-7183
Mailing Address - Country:US
Mailing Address - Phone:936-494-5624
Mailing Address - Fax:
Practice Address - Street 1:11700 CALVARY RD
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-7183
Practice Address - Country:US
Practice Address - Phone:936-494-5624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA363LF0000X
TXAP139669363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily