Provider Demographics
NPI:1699288951
Name:BARBER, LINDA (ATP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BARBER
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10513 T BURY
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-5867
Mailing Address - Country:US
Mailing Address - Phone:254-313-7602
Mailing Address - Fax:254-442-7898
Practice Address - Street 1:1221 PROFIT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3919
Practice Address - Country:US
Practice Address - Phone:254-313-7602
Practice Address - Fax:254-442-7898
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXATP88213247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other