Individual
DR. SCOTT ROBERT BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11520 N CENTRAL EXPY STE 126, DALLAS, TX 75243-6652
(214) 396-4844
(214) 341-9997
Mailing address
11520 N CENTRAL EXPY STE 126, DALLAS, TX 75243-6652
(214) 396-4844
(214) 341-9997
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L9617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J9650
MEDICARE PTAN
TX
01
—
L9617
TEXAS LICENSE#
TX
Enumeration date
08/10/2006
Last updated
04/27/2016
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