Provider Demographics
NPI:1073521357
Name:BARLAS ENTERPRISES INC
Entity Type:Organization
Organization Name:BARLAS ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-433-2500
Mailing Address - Street 1:4407 W FUQUA ST
Mailing Address - Street 2:A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-6256
Mailing Address - Country:US
Mailing Address - Phone:713-433-2500
Mailing Address - Fax:713-433-3513
Practice Address - Street 1:4407 W FUQUA ST
Practice Address - Street 2:A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-6256
Practice Address - Country:US
Practice Address - Phone:713-433-2500
Practice Address - Fax:713-433-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0028LZOtherBLUE CROSS
TN170236702OtherEPSDT
TX170236701Medicaid
TX0028LZOtherBLUE CROSS