Provider Demographics
NPI:1962690107
Name:ABIGAIL RIOS BARRERA, M.D., P.A.
Entity type:Organization
Organization Name:ABIGAIL RIOS BARRERA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:RIOS
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-927-6600
Mailing Address - Street 1:PO BOX 12561
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-0561
Mailing Address - Country:US
Mailing Address - Phone:210-927-6600
Mailing Address - Fax:210-927-6603
Practice Address - Street 1:919 SW MILITARY DR STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1580
Practice Address - Country:US
Practice Address - Phone:210-927-6600
Practice Address - Fax:210-927-6603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157953401Medicaid
TX0086KKOtherBCBS GR#
TX157953401Medicaid
TX00887UMedicare PIN