Provider Demographics
NPI:1518055581
Name:BARTAY, JAMES RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAY
Last Name:BARTAY
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 1:1260 RIVER ACRES DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3529
Mailing Address - Country:US
Mailing Address - Phone:830-620-0956
Mailing Address - Fax:830-620-0286
Practice Address - Street 1:1260 RIVER ACRES DR
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3529
Practice Address - Country:US
Practice Address - Phone:830-620-0956
Practice Address - Fax:830-620-0286
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138684905Medicaid
TXC13218Medicare UPIN
TX138684905Medicaid