Provider Demographics
NPI:1558365130
Name:BARTHEL, ENIKO KIRALY (MD)
Entity Type:Individual
Prefix:DR
First Name:ENIKO
Middle Name:KIRALY
Last Name:BARTHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 HERITAGE AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-5714
Mailing Address - Country:US
Mailing Address - Phone:682-215-4195
Mailing Address - Fax:817-283-1116
Practice Address - Street 1:4100 HERITAGE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-5714
Practice Address - Country:US
Practice Address - Phone:682-215-4195
Practice Address - Fax:817-283-1116
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13603R207R00000X
TXN0635207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198303301Medicaid
LA1429627Medicaid
LA5H517Medicare ID - Type Unspecified
LA1429627Medicaid
TX8L5590Medicare PIN