Provider Demographics
NPI:1982894903
Name:BARTOS, HEATHER ROBERTSON (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ROBERTSON
Last Name:BARTOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:ANN
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13052 DALLAS PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4241
Mailing Address - Country:US
Mailing Address - Phone:940-365-9001
Mailing Address - Fax:940-365-9009
Practice Address - Street 1:13052 DALLAS PARKWAY
Practice Address - Street 2:BUILDING 200, SUITE 210
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:940-365-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2774207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284160303Medicaid
TXP01384066OtherPALMETTO GBA
TXP01384066OtherPALMETTO GBA
TXTXB133933Medicare PIN