Provider Demographics
NPI:1720472970
Name:BARTEL, CHAD DEAN (DO)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:DEAN
Last Name:BARTEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 N. COLLINS STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005
Mailing Address - Country:US
Mailing Address - Phone:817-860-1309
Mailing Address - Fax:817-860-5380
Practice Address - Street 1:4100 N COLLINS ST STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76005-4551
Practice Address - Country:US
Practice Address - Phone:817-860-1309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXQ9948207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program