Prestridge, Barry B
Prestridge, Barry B is an individual health care provider with primary practice located at 1 Burnside , Wichita Falls TX 76310-1123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Prestridge, Barry B can be contacted via phone (940) 322-6953.Contact Information
Primary practice address
1 Burnside
Wichita Falls TX 76310-1123
Phone: (940) 322-6953
Fax: (940) 767-9301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D8387 | Texas |
Profile Details
| NPI number | 1407849219 |
|---|---|
| LBN Legal business name | Prestridge, Barry B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Feb 9th, 2015 - about 11 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 | 1407849219 | NPPES |
| Texas | MEDICAID | 122966801 |
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