Healthcare Provider Details

I. General information

NPI: 1770585598
Provider Name (Legal Business Name): SARA BARTOS M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 MEDICAL ARTS ST SUITE 7
AUSTIN TX
78705-3376
US

IV. Provider business mailing address

2911 MEDICAL ARTS ST SUITE 7
AUSTIN TX
78705-3376
US

V. Phone/Fax

Practice location:
  • Phone: 512-476-9934
  • Fax: 512-476-8404
Mailing address:
  • Phone: 512-476-9934
  • Fax: 512-476-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG9923
License Number StateTX

VIII. Authorized Official

Name: DR. SARA J. BARTOS
Title or Position: OWNER
Credential: M.D.
Phone: 512-476-9934