Provider Demographics
NPI:1487968160
Name:THORBURN, BARBARA H (RN, BSN, CCM)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:H
Last Name:THORBURN
Suffix:
Gender:F
Credentials:RN, BSN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448 LONG CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-8291
Mailing Address - Country:US
Mailing Address - Phone:830-608-1000
Mailing Address - Fax:830-608-1000
Practice Address - Street 1:1448 LONG CREEK BLVD
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-8291
Practice Address - Country:US
Practice Address - Phone:830-608-1000
Practice Address - Fax:830-608-1000
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222215171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator