MEDICARE: BARLAS ENTERPRISES INC

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0028LZ	OTHER	TX	BLUE CROSS
2	170236702	OTHER	TN	EPSDT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073521357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARLAS ENTERPRISES INC

Provider Business Mailing Address
First Line	:	4407 W FUQUA ST
Second Line	:	A
City	:	HOUSTON
State	:	TX
Zip	:	77045-6256
Country	:	US
Telephone Number	:	713-433-2500
Fax Number	:	713-433-3513

Provider Business Practice Location Address
First Line	:	4407 W FUQUA ST
Second Line	:	A
City	:	HOUSTON
State	:	TX
Zip	:	77045-6256
Country	:	US
Telephone Number	:	713-433-2500
Fax Number	:	713-433-3513

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MR. AL BARLAS
Credential	:
Telephone Number	:	713-433-2500

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	09/16/2014

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Directions to “BARLAS ENTERPRISES INC ” Practice Location

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