# JOHN BARNETT MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Revive Men's Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295144186
- **Authorized official:** MRS. MARIE SERNA (OFFICE DIRECTOR)
- **Authorized official phone:** (817) 391-0130

## Contact information

- **Practice address:** 2129 MARTIN DR, SUITE 200, BEDFORD, TX 76021-5995
- **Practice address phone:** (817) 391-0130
- **Practice address fax:** (817) 391-0136
- **Mailing address:** 2129 MARTIN DR, SUITE 200, BEDFORD, TX 76021-5995
- **Mailing address phone:** (817) 391-0130
- **Mailing address fax:** (817) 391-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | D5910 | TX | Yes |

## Other

- **Enumeration date:** 08/05/2014
- **Last updated:** 08/11/2014