Individual
GREGORY W BARTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-2222
(432) 335-1815
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-2222
(432) 335-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E7559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036KT
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
114255602
—
TX
Enumeration date
09/06/2006
Last updated
10/28/2021
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