Provider Demographics
NPI:1285812677
Name:JOHN B BARNETT, MD, SURGICAL PA.
Entity type:Organization
Organization Name:JOHN B BARNETT, MD, SURGICAL PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-361-9717
Mailing Address - Street 1:8140 WALNUT HILL LN
Mailing Address - Street 2:STE 601
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4350
Mailing Address - Country:US
Mailing Address - Phone:214-361-9717
Mailing Address - Fax:214-361-2885
Practice Address - Street 1:8140 WALNUT HILL LN
Practice Address - Street 2:STE 601
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4350
Practice Address - Country:US
Practice Address - Phone:214-361-9717
Practice Address - Fax:214-361-2885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5910208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty