Provider Demographics
NPI:1417901513
Name:ROMANEK, BARTON JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:JAMES
Last Name:ROMANEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 W SAN ANTONIO ST
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-2421
Mailing Address - Country:US
Mailing Address - Phone:512-376-5247
Mailing Address - Fax:512-376-6252
Practice Address - Street 1:1009 W SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-2421
Practice Address - Country:US
Practice Address - Phone:512-376-5247
Practice Address - Fax:512-376-6252
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1226207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121431402Medicaid
B26000Medicare UPIN
TX8J2657Medicare PIN