Provider Demographics
NPI:1154338754
Name:BARTO, BART EUGENE (LPA)
Entity type:Individual
Prefix:MR
First Name:BART
Middle Name:EUGENE
Last Name:BARTO
Suffix:
Gender:M
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10112 W COUNTY ROAD 54
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-1319
Mailing Address - Country:US
Mailing Address - Phone:432-563-1363
Mailing Address - Fax:432-563-1363
Practice Address - Street 1:10112 W COUNTY ROAD 54
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-1319
Practice Address - Country:US
Practice Address - Phone:432-563-1363
Practice Address - Fax:432-563-1363
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-4333103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00164BOtherBCBS