Bartholomew, Gary Victor

Bartholomew, Gary Victor is an individual health care provider with primary practice located at 5450 Clearfork Main St Ste 220 , Fort Worth TX 76109-3562. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Bartholomew, Gary Victor can be contacted via phone (817) 505-0233.

Contact Information

Primary practice address
5450 Clearfork Main St Ste 220 Fort Worth TX 76109-3562
Phone: (817) 505-0233
Fax: (817) 332-3172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 926 Texas

Profile Details

NPI number 1316077761
LBN Legal business name Bartholomew, Gary Victor
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Oct 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316077761 NPPES
Texas Other 084933301 MEDICAID GROUP NUMBER
Texas MEDICAID 0187254-01 MEDICAID GROUP NUMBER
Texas MEDICAID 018725402 MEDICAID GROUP NUMBER

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