Provider Demographics
NPI:1730480542
Name:AB INTERNAL MEDICINE GROUP PA
Entity Type:Organization
Organization Name:AB INTERNAL MEDICINE GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ARTURAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BAREIKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-217-7349
Mailing Address - Street 1:1533 BELLNAP DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5820
Mailing Address - Country:US
Mailing Address - Phone:972-771-8316
Mailing Address - Fax:
Practice Address - Street 1:4211 JOE RAMSEY BLVD E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7852
Practice Address - Country:US
Practice Address - Phone:903-217-7349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8272174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty