Healthcare Provider Details
I. General information
NPI: 1720472970
Provider Name (Legal Business Name): CHAD DEAN BARTEL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/25/2015
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4100 N COLLINS ST STE 200
ARLINGTON TX
76005-4551
US
IV. Provider business mailing address
4100 N. COLLINS STREET SUITE 200
ARLINGTON TX
76005
US
V. Phone/Fax
- Phone: 817-860-1309
- Fax:
- Phone: 817-860-1309
- Fax: 817-860-5380
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | Q9948 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: