Provider Demographics
NPI:1861557647
Name:MARCUS D BARNETT M.D. P.A.
Entity type:Organization
Organization Name:MARCUS D BARNETT M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-807-0111
Mailing Address - Street 1:11307 FM 1960 W.
Mailing Address - Street 2:#210 - CYFAIR MEDICAL PLAZA
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065
Mailing Address - Country:US
Mailing Address - Phone:281-807-0111
Mailing Address - Fax:281-807-0114
Practice Address - Street 1:11307 F.M. 1960 W.
Practice Address - Street 2:SUITE-210 - CYFAIR MEDICAL PLAZA
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:281-807-0111
Practice Address - Fax:281-807-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9773208200000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000U94G2Medicaid
TXP000U9452Medicaid
TXF27866Medicare UPIN
TXP000U94G2Medicaid