Provider Demographics
NPI:1902951296
Name:JACINTO, BARBARA LYNN (PA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LYNN
Last Name:JACINTO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:6811 BURNING BUSH
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2935
Mailing Address - Country:US
Mailing Address - Phone:972-496-0024
Mailing Address - Fax:972-398-0736
Practice Address - Street 1:3900 AMERICAN DR STE 203
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6190
Practice Address - Country:US
Practice Address - Phone:972-398-0734
Practice Address - Fax:972-398-0736
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01004363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical