Ariel S Brautbar
Internist General Practice Physician Clinical Genetics (M.D.)
750 8th Ave Ste 200
Fort Worth
, Texas 76104-2500
Ariel S Brautbar
Internist General Practice Physician Clinical Genetics (M.D.)
750 8th Ave Ste 200
Fort Worth
, Texas 76104-2500
(682) 885-1396
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About
Features
Specialties
- Internist
- Clinical Genetics (M.D.)
- General Practice Physician
Languages spoken
- English
Location
First Address
- Ariel S Brautbar
- Po Box 733784
- Dallas, TX
- Zip : 75373-3784
- Fax : (682) 885-1396
- Phone : (682) 885-1855
Second Address
- Ariel S Brautbar
- 750 8th Ave Ste 200
- Fort Worth, TX
- Zip : 76104-2500
- Fax : (817) 335-8277
- Phone : (682) 885-2170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 56071 | WI |
| N | 111NI0900X | Internist | 56071 | WI |
| N | 207SG0201X | Clinical Genetics (M.D.) | 56071 | WI |
| Y | 207SG0201X | Clinical Genetics (M.D.) | N4957 | TX |
| N | 208D00000X | General Practice Physician | 56071 | WI |
National Provider Identifier
| NPI | 1184952038 |
|---|---|
| Provider Name | Ariel S Brautbar |
| First Address | Dallas, TX 75373-3784 |
| Second Address | Fort Worth, TX 76104-2500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2009 |
| Last Update Date | 19/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.