Provider Demographics
NPI:1760963581
Name:BARTEK, BRITTANY JADE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JADE
Last Name:BARTEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3369 COUNTY ROAD 271
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:TX
Mailing Address - Zip Code:75946-7539
Mailing Address - Country:US
Mailing Address - Phone:936-205-0336
Mailing Address - Fax:
Practice Address - Street 1:3369 COUNTY ROAD 271
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:TX
Practice Address - Zip Code:75946
Practice Address - Country:US
Practice Address - Phone:936-205-0336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300260163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics