Provider Demographics
NPI:1386690477
Name:BARTA, ADAM P (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:P
Last Name:BARTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1601 RIO GRANDE ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1137
Mailing Address - Country:US
Mailing Address - Phone:512-324-8960
Mailing Address - Fax:512-324-8962
Practice Address - Street 1:1313 RED RIV STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1923
Practice Address - Country:US
Practice Address - Phone:512-324-7318
Practice Address - Fax:521-324-8018
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2012-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK5801207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046669002Medicaid
TX046669001Medicaid
TX046669014Medicaid
TX046669001Medicaid
TX8A3197Medicare PIN
TX046669002Medicaid
TX8L16896Medicare PIN
TXG72109Medicare UPIN