Provider Demographics
NPI:1821175290
Name:BARIX CLINICS OF TEXAS
Entity Type:Organization
Organization Name:BARIX CLINICS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT FOREST HEALTH SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DYKSTERHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-547-1112
Mailing Address - Street 1:801 S HIGHWAY 78
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-5502
Mailing Address - Country:US
Mailing Address - Phone:972-429-8000
Mailing Address - Fax:
Practice Address - Street 1:801 S HIGHWAY 78
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-5502
Practice Address - Country:US
Practice Address - Phone:972-429-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007269282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH1033OtherBCBS PROVIDER ID NUMBER
450849Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER