Provider Demographics
NPI:1770585598
Name:SARA BARTOS M.D., P.A.
Entity type:Organization
Organization Name:SARA BARTOS M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-476-9934
Mailing Address - Street 1:2911 MEDICAL ARTS ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3376
Mailing Address - Country:US
Mailing Address - Phone:512-476-9934
Mailing Address - Fax:512-476-8404
Practice Address - Street 1:2911 MEDICAL ARTS ST
Practice Address - Street 2:SUITE 7
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3376
Practice Address - Country:US
Practice Address - Phone:512-476-9934
Practice Address - Fax:512-476-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9923207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080343901Medicaid
TX0054DUOtherBLUE CROSS / BLUE SHIELD
TX0054DUOtherBLUE CROSS / BLUE SHIELD
TX080343901Medicaid