Provider Demographics
NPI:1427684125
Name:BARRIENTEZ, NATHANIEL BENJAMIN (DC)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:BENJAMIN
Last Name:BARRIENTEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23806 CARINA CYN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2416
Mailing Address - Country:US
Mailing Address - Phone:210-896-6554
Mailing Address - Fax:
Practice Address - Street 1:12101 BEE CAVES RD STE 5B
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6464
Practice Address - Country:US
Practice Address - Phone:512-297-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-14
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor