Provider Demographics
NPI:1366543399
Name:BARBA, CARLA LUISA (NP)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:LUISA
Last Name:BARBA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:24315 ARBOLES VERDES
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-4329
Mailing Address - Country:US
Mailing Address - Phone:210-257-8470
Mailing Address - Fax:
Practice Address - Street 1:3903 WISEMAN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4401
Practice Address - Country:US
Practice Address - Phone:210-426-3663
Practice Address - Fax:210-245-3934
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX722517363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health