Organization
JOHN BARNETT MD PA
Active
Other names
Revive Men's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE SERNA (OFFICE DIRECTOR)
(817) 391-0130
Entity
Organization
Contact information
Practice address
2129 MARTIN DR, SUITE 200, BEDFORD, TX 76021-5995
(817) 391-0130
(817) 391-0136
Mailing address
2129 MARTIN DR, SUITE 200, BEDFORD, TX 76021-5995
(817) 391-0130
(817) 391-0136
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D5910
TX
Other
Enumeration date
08/05/2014
Last updated
08/11/2014
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