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Individual

MICHAEL BARTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
13601 PRESTON RD STE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
13601 PRESTON RD STE 1000W, DALLAS, TX 75240-4911
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01096
NM
367500000X
Certified Registered Nurse Anesthetist
RN25707
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000099456
BCBS
MT
05
1407811896
MT
Enumeration date
04/19/2006
Last updated
11/08/2011
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