MEDICARE: SARA BARTOS M.D., P.A.

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	207R00000X	Internal Medicine Physician	G9923	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0054DU	OTHER	TX	BLUE CROSS / BLUE SHIELD

General Provider Information

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

Provider Business Mailing Address
First Line	:	2911 MEDICAL ARTS ST
Second Line	:	SUITE 7
City	:	AUSTIN
State	:	TX
Zip	:	78705-3376
Country	:	US
Telephone Number	:	512-476-9934
Fax Number	:	512-476-8404

Provider Business Practice Location Address
First Line	:	2911 MEDICAL ARTS ST
Second Line	:	SUITE 7
City	:	AUSTIN
State	:	TX
Zip	:	78705-3376
Country	:	US
Telephone Number	:	512-476-9934
Fax Number	:	512-476-8404

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARA J. BARTOS
Credential	:	M.D.
Telephone Number	:	512-476-9934

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	10/19/2007

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Directions to “SARA BARTOS M.D., P.A. ” Practice Location

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