MEDICARE: GARY ANDREW BARKOCY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	L2126	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00209257	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8R5784	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1114931573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY ANDREW BARKOCY DO

Provider Business Mailing Address
First Line	:	409 RUSSELL BLVD STE A
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1248
Country	:	US
Telephone Number	:	936-560-4327
Fax Number	:	866-927-4221

Provider Business Practice Location Address
First Line	:	409 RUSSELL BLVD STE A
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1248
Country	:	US
Telephone Number	:	936-560-4327
Fax Number	:	866-927-4221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	05/05/2023

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Directions to “ GARY ANDREW BARKOCY DO” Practice Location

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