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General NPI Number Information
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NPI Number | 1790699650
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS PREMIER IOM PLLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 17051 DALLAS PKWY STE 370
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City | ADDISON
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State | TX
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Zip | 75001-7113
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Country | US
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Telephone | 210-598-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 17051 DALLAS PKWY STE 370
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City | ADDISON
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State | TX
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Zip | 75001-7113
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Country | US
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Telephone | 469-607-1699
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID W BARNETT
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Credential | MD
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Telephone | 469-607-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State | NULL
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