Provider Demographics
NPI:1598722522
Name:BARTEK, WILLIAM MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MATTHEW
Last Name:BARTEK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5920 W WILLIAM CANNON DR
Mailing Address - Street 2:BLDG 1 STE 150
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1902
Mailing Address - Country:US
Mailing Address - Phone:512-441-9799
Mailing Address - Fax:512-441-9814
Practice Address - Street 1:5920 W WILLIAM CANNON DR
Practice Address - Street 2:BLDG 1 STE 150
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1902
Practice Address - Country:US
Practice Address - Phone:512-441-9799
Practice Address - Fax:512-441-9814
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2016-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2642207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153723501Medicaid
TX153723501Medicaid
TXH64684Medicare UPIN