Provider Demographics
NPI:1679535843
Name:BARTEL, DANNY R (MD)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:R
Last Name:BARTEL
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 1:1722 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-5003
Mailing Address - Country:US
Mailing Address - Phone:940-322-1075
Mailing Address - Fax:940-322-0156
Practice Address - Street 1:1722 9TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-5003
Practice Address - Country:US
Practice Address - Phone:940-322-1075
Practice Address - Fax:940-322-8215
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE62262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137484511Medicaid
TX137484511Medicaid
TX8F9675Medicare PIN