JOHN BARNETT MD PA (NPI# 1295144186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295144186 |
Entity Type | Organization |
Organization Name | JOHN BARNETT MD PA |
Other Organization Name | REVIVE MEN'S CLINIC |
Practice Address |
2129 Martin Dr Suite 200 Bedford TX 76021-5995 |
Practice Telephone | 8173910130 |
Practice Fax Number | 8173910136 |
Mailing Telephone | 8173910130 |
Mailing Fax Number | 8173910136 |
Enumeration Date | 2014-08-05 |
Last Update Date | 2014-08-11 |
Authorized Official Name | MRS. MARIE SERNA (OFFICE DIRECTOR) |
Authorized Official Telephone | 8173910130 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | D5910 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Revive Men's Clinic | Doing Business As Name - Organization |
Street Address |
2129 MARTIN DR SUITE 200 |
City | BEDFORD |
State | TX |
Zip Code | 76021-5995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
Find all providers in zip 76021 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1932351699 | Denrick L Crespi D O P C | General Practice | 167 S River Rd, Bedford, NH 03110-6931 | 2008-10-14 |
1114102571 | Dfw Advanced Medical | General Practice | 2520 Harwood Rd Ste 200, Bedford, TX 76021-6709 | 2008-01-04 |
1013938125 | Deuteronomy | General Practice | 1604 Hospital Pkwy, Suite 100, Bedford, TX 76022-6986 | 2006-07-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.