Healthcare Provider Details

I. General information

NPI: 1841369238
Provider Name (Legal Business Name): MICHAEL DERRELL BARNETT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2849 MORRISS RD
FLOWER MOUND TX
75028-3662
US

IV. Provider business mailing address

2849 MORRISS RD
FLOWER MOUND TX
75028-3662
US

V. Phone/Fax

Practice location:
  • Phone: 972-956-9887
  • Fax: 888-922-3397
Mailing address:
  • Phone: 972-956-9887
  • Fax: 888-922-3397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5260
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number8558
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number8558
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: