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NPI Code Detail

MEDICARE: DR. ERIC ANTHONY BARCAK D.O.

MEDICARE: DR. ERIC ANTHONY BARCAK D.O.
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
1207X00000XOrthopaedic Surgery PhysicianQ5344TX
2390200000XStudent in an Organized Health Care Education/Training Program
3207XX0801XOrthopaedic Trauma PhysicianQ5344TX

General Provider Information

NPI Number : 1134418312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC ANTHONY BARCAK D.O.
Provider Business Mailing Address
First Line : 1412 MAY ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7639
Country : US
Telephone Number : 817-702-2450
Fax Number : 817-702-7315
Provider Business Practice Location Address
First Line : 1250 8TH AVE STE 600
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4121
Country : US
Telephone Number : 817-702-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2011
Last Update Date : 12/15/2023

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