Provider Demographics
NPI:1053358986
Name:BARIL, RENEE RACHELLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:RACHELLE
Last Name:BARIL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6278
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76115-0278
Mailing Address - Country:US
Mailing Address - Phone:817-568-5467
Mailing Address - Fax:817-568-5474
Practice Address - Street 1:120 N MILLER RD STE 300
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9106
Practice Address - Country:US
Practice Address - Phone:682-341-7510
Practice Address - Fax:682-341-7511
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115091363LF0000X
TXAP115091363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8SD510OtherBCBS
TX8SD510OtherBCBS
834N96OtherBC/BS
TX181803102Medicaid