Individual
DENNIS L BARTASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5815 RANCH HILL DR, MAGNOLIA, TX 77354-5054
(936) 321-5162
(936) 271-5162
Mailing address
5815 RANCH HILL DR, MAGNOLIA, TX 77354-5054
(936) 321-5162
(936) 271-5162
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F5463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140340444
—
TX
05
—
140340448
—
TX
05
—
140340450
—
TX
05
—
140340451
—
TX
01
—
8AP265
BCBS
TX
01
—
8F9751
BCBSTX PROV NO
TX
01
—
930117296
RAILROAD MEDICARE
TX
01
—
930117303
RAILROAD MEDICARE PROV NO
TX
Enumeration date
12/13/2005
Last updated
05/18/2009
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