Provider Demographics
NPI:1447255476
Name:BARKE, RONALD MARTIN (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:MARTIN
Last Name:BARKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:910 N DAVIS DR
Mailing Address - Street 2:STE 100
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3200
Mailing Address - Country:US
Mailing Address - Phone:817-265-8525
Mailing Address - Fax:817-860-6056
Practice Address - Street 1:910 N DAVIS DRIVE
Practice Address - Street 2:STE 100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3200
Practice Address - Country:US
Practice Address - Phone:817-265-8525
Practice Address - Fax:817-860-6056
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0439207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140063225Medicaid
TX180036494OtherRAILROAD MEDICARE
TX752821670OtherTAX IDENTIFICATION