Provider Demographics
NPI:1073261939
Name:BARTON, WILLIAM TYLER (PA-C)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TYLER
Last Name:BARTON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 COMAL RIM
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-3280
Mailing Address - Country:US
Mailing Address - Phone:121-077-2446
Mailing Address - Fax:
Practice Address - Street 1:CAMP WALKER WOOD ARMY MEDICAL HOME
Practice Address - Street 2:UNIT 15021
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96218-0178
Practice Address - Country:US
Practice Address - Phone:315-737-4715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical