Provider Demographics
NPI:1710994264
Name:BARTON, ALTON KEITH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALTON
Middle Name:KEITH
Last Name:BARTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 FM 1960 WEST
Mailing Address - Street 2:STE. 610
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4213
Mailing Address - Country:US
Mailing Address - Phone:281-583-5005
Mailing Address - Fax:281-583-5008
Practice Address - Street 1:5625 FM 1960 RD W
Practice Address - Street 2:STE. 610
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4201
Practice Address - Country:US
Practice Address - Phone:281-583-5005
Practice Address - Fax:281-583-5008
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20951103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP57724OtherSECURE CONNECT ID/WEB ENV
TXR57804Medicare UPIN
TX00G01CMedicare ID - Type UnspecifiedPROVIDER ID