MEDICARE: SAMUEL L. BARNETT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	M6520	TX
2	207T00000X	Neurological Surgery Physician	19280	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19280	OTHER	MS	STATE LICENSE

General Provider Information

NPI Number	:	1730127390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL L. BARNETT M.D.

Provider Business Mailing Address
First Line	:	1411 N BECKLEY AVE STE 152
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1586
Country	:	US
Telephone Number	:	214-948-2076
Fax Number	:	214-948-9990

Provider Business Practice Location Address
First Line	:	1411 N BECKLEY AVE STE 152
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1586
Country	:	US
Telephone Number	:	214-948-2076
Fax Number	:	214-948-9990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	07/18/2025

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