Provider Demographics
NPI:1003309832
Name:BARBER, DAVID J (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:BARBER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2210 SAN JACINTO BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7531
Mailing Address - Country:US
Mailing Address - Phone:940-566-1919
Mailing Address - Fax:940-387-5909
Practice Address - Street 1:2210 SAN JACINTO BLVD STE 5
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7531
Practice Address - Country:US
Practice Address - Phone:940-566-1919
Practice Address - Fax:833-906-2553
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3098213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty