NPI Code Details Logo

NPI 1134846793

NPI 1134846793 : NORTH TEXAS IOM, PLLC : ADDISON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1134846793
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NORTH TEXAS IOM, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/25/2022
-----------------------------------------------------
    Last Update Date     |    02/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    17051 NORTH DALLAS PKWY, STE 370 
-----------------------------------------------------
    City                 |    ADDISON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-598-4268
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1141 N LOOP 1604 E # 105-612 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78232-1339
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-598-4277
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     DAVID  BARNETT 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    210-598-4268
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    246ZE0600X
-----------------------------------------------------
    Taxonomy Name        |    Electroneurodiagnostic Specialist/Technologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    204R00000X
-----------------------------------------------------
    Taxonomy Name        |    Electrodiagnostic Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084N0600X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Neurophysiology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.