Provider Demographics
NPI:1427477736
Name:O'NEAL, BARRON JOHNS JR (MD)
Entity type:Individual
Prefix:DR
First Name:BARRON
Middle Name:JOHNS
Last Name:O'NEAL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3488, DEPT 05-039
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38803-3488
Mailing Address - Country:US
Mailing Address - Phone:318-300-3643
Mailing Address - Fax:888-511-4191
Practice Address - Street 1:1501 KINGS HWY
Practice Address - Street 2:SURGERY
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-4228
Practice Address - Country:US
Practice Address - Phone:318-813-2655
Practice Address - Fax:318-813-2673
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA312274207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program