Individual
GARY VICTOR BARTHOLOMEW
Active
Individual
GARY VICTOR BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187254-01
—
TX
05
—
018725402
—
TX
01
—
084933301
MEDICAID GROUP NUMBER
TX
Enumeration date
03/06/2007
Last updated
10/22/2019
Update your record
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