Provider Demographics
NPI:1588430219
Name:BARRON, SAUDI YAMEL
Entity type:Individual
Prefix:
First Name:SAUDI
Middle Name:YAMEL
Last Name:BARRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 MONTWOOD DR STE 101
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-2713
Mailing Address - Country:US
Mailing Address - Phone:915-222-4615
Mailing Address - Fax:
Practice Address - Street 1:10600 MONTWOOD DR STE 101
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2713
Practice Address - Country:US
Practice Address - Phone:915-222-4615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist