Barajas, Juan Jose
Barajas, Juan Jose is an sole proprietor health care provider with primary practice located at 1300 S Bryan Rd Ste 105, Mission TX 78572-6688. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Barajas, Juan Jose can be contacted via phone (956) 581-6151.Contact Information
Primary practice address
1300 S Bryan Rd Ste 105
Mission TX 78572-6688
Phone: (956) 581-6151
Fax: (956) 581-4836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 5335TG | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5335TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5335TG | Texas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 5335TG | Texas |
Profile Details
| NPI number | 1134122088 |
|---|---|
| LBN Legal business name | Barajas, Juan Jose |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 11th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134122088 | NPPES |
| Texas | MEDICAID | 102202203 | |
| Texas | Other | 80302Q |
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