Provider Demographics
NPI:1881643971
Name:BARTZ, REED LOCKE (MD)
Entity Type:Individual
Prefix:DR
First Name:REED
Middle Name:LOCKE
Last Name:BARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S COLLINS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4645
Mailing Address - Country:US
Mailing Address - Phone:214-256-3778
Mailing Address - Fax:214-256-3770
Practice Address - Street 1:222 S COLLINS RD STE 101
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4645
Practice Address - Country:US
Practice Address - Phone:214-256-3778
Practice Address - Fax:214-256-3770
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9466207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L2081Medicare PIN
TX0986530001Medicare NSC
NEG33199Medicare UPIN