Provider Demographics
NPI:1730190562
Name:BARNES, CARLIN DENISE (MD)
Entity type:Individual
Prefix:DR
First Name:CARLIN
Middle Name:DENISE
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2007
Mailing Address - Country:US
Mailing Address - Phone:832-444-3753
Mailing Address - Fax:713-521-5832
Practice Address - Street 1:2424 W HOLCOMBE BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1934
Practice Address - Country:US
Practice Address - Phone:713-521-5930
Practice Address - Fax:713-521-5832
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL00192084P0800X, 2084P0804X
IN01084304A2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141256101Medicaid
TX141256102Medicaid
TX141256107Medicaid
TX8F22412OtherMEDICARE
TX610874Medicare PIN
TXH31402Medicare UPIN
TXP00123662Medicare PIN
TX8800K5Medicare ID - Type Unspecified