Provider Demographics
NPI:1730751074
Name:BARFIELD, TANA RAYE (PCP)
Entity type:Individual
Prefix:MRS
First Name:TANA
Middle Name:RAYE
Last Name:BARFIELD
Suffix:
Gender:F
Credentials:PCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11638 STATE HIGHWAY 204 UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:TX
Mailing Address - Zip Code:75760-3770
Mailing Address - Country:US
Mailing Address - Phone:936-585-1348
Mailing Address - Fax:
Practice Address - Street 1:11638 STATE HIGHWAY 204 UNIT 2
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:TX
Practice Address - Zip Code:75760-3770
Practice Address - Country:US
Practice Address - Phone:936-585-1348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider