Dcmdpa is a Chiropractor in Dallas, Texas. Dcmdpa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dcmdpa is 1700073137. The last update date is 2007-10-01.
Dcmdpa's current location address is 2306 S Buckner Blvd, Dallas, Texas. You can contact this provider via phone number 2142754124 and fax number 2142754408. The mailing address for Dcmdpa is 2306 S Buckner Blvd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dcmdpa |
|---|---|
| Address | 2306 S Buckner Blvd, Dallas, Texas |
| Phone Number | 2142754124 |
| Fax Number | 2142754408 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Kilgore C Sean |
| Credentials | D.C. |
| Telephone Number | 2142754124 |
NPI Number Detail
| NPI Number | 1700073137 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 2306 S Buckner Blvd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752278605 |
| Phone Number | 2142754124 |
| Fax Number | 2142754408 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 8704 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identification code issued to Dcmdpa by the Centers for Medicare & Medicaid Services?
The Dcmdpa has been assigned the NPI (National Provider Identifier) 1700073137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Dcmdpa located?
The Dcmdpa is located at 2306 S Buckner Blvd, Dallas, TX 752278605.
What is Dcmdpa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dcmdpa's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Dcmdpa receive its 1700073137 assignment from the Centers for Medicare & Medicaid Services?
The Dcmdpa was assigned its 1700073137 by the Centers for Medicare & Medicaid Services on 2007-10-01.
As of what date were the Dcmdpa's details last updated?
The information pertaining to the Dcmdpa, including its address, specialty, and other details, was most recently updated on 2007-10-01.
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