Provider Demographics
NPI:1417779521
Name:DAVID BARNETT, MD PA
Entity type:Organization
Organization Name:DAVID BARNETT, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-728-9850
Mailing Address - Street 1:17051 DALLAS PARKWAY
Mailing Address - Street 2:STE 370
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-7113
Mailing Address - Country:US
Mailing Address - Phone:469-607-1699
Mailing Address - Fax:
Practice Address - Street 1:17051 DALLAS PARKWAY
Practice Address - Street 2:STE 370
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-7113
Practice Address - Country:US
Practice Address - Phone:469-607-1699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty