=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104898725
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARTURAS BAREIKA MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/07/2006
-----------------------------------------------------
Last Update Date | 10/01/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4211 JOE RAMSEY BLVD E STE 203
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75401-7857
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-408-7908
-----------------------------------------------------
Fax | 903-408-5121
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1533 BELLNAP DR
-----------------------------------------------------
City | ALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75013-5820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-771-8316
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | L8272
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | L8272
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------