Provider Demographics
NPI:1790932366
Name:BRIAN D. BARNETT, M.D, P.A.
Entity Type:Organization
Organization Name:BRIAN D. BARNETT, M.D, P.A.
Other - Org Name:DALLAS IVF
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MGA
Authorized Official - Phone:214-297-0020
Mailing Address - Street 1:2840 LEGACY DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6050
Mailing Address - Country:US
Mailing Address - Phone:214-297-0020
Mailing Address - Fax:214-297-0025
Practice Address - Street 1:2840 LEGACY DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6050
Practice Address - Country:US
Practice Address - Phone:214-297-0020
Practice Address - Fax:214-297-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3078174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1942229919OtherINDIVIDUAL NPI
TX1942229919OtherINDIVIDUAL NPI