Provider Demographics
NPI:1790546166
Name:BARTO, TITUS MITCHELL
Entity Type:Individual
Prefix:
First Name:TITUS
Middle Name:MITCHELL
Last Name:BARTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:OSAGE
Mailing Address - State:OK
Mailing Address - Zip Code:74054-0036
Mailing Address - Country:US
Mailing Address - Phone:918-576-4492
Mailing Address - Fax:
Practice Address - Street 1:4513 E 55TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135
Practice Address - Country:US
Practice Address - Phone:918-576-4492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist