Individual provider · NPI-1
Madge L Barnes, MD
Family Medicine · Grand Prairie, TX
NPI number1679526875
StatusActive
Last updated in NPPESApr 24, 2018
Details
- NPI
- 1679526875
- Entity type
- Individual (NPI-1)
- Name
- Madge L Barnes
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2006
- Last updated
- Apr 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | K6810 | TX | Yes |
Practice location
2950 W Camp Wisdom Rd Ste 100Grand Prairie, TX 75052-4461
Phone 972-352-2937 · Fax 972-352-2996
Mailing address
2950 W Camp Wisdom Rd Ste 100Grand Prairie, TX 75052-4461
Phone 972-352-2937 · Fax 972-352-2996
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