Healthcare Provider Details

I. General information

NPI: 1003309832
Provider Name (Legal Business Name): DAVID J BARBER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 03/23/2022
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 SAN JACINTO BLVD STE 5
DENTON TX
76205-7531
US

IV. Provider business mailing address

2210 SAN JACINTO BLVD STE 5
DENTON TX
76205-7531
US

V. Phone/Fax

Practice location:
  • Phone: 940-566-1919
  • Fax: 833-906-2553
Mailing address:
  • Phone: 940-566-1919
  • Fax: 940-387-5909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number3098
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: