Camille Catherine Reagan in Dallas - Sports Physician

Camille Catherine Reagan - NPI 1215113451

Camille Catherine Reagan is a Sports Physician in Dallas, Texas. Camille Catherine Reagan practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Camille Catherine Reagan is 1215113451. The last update date is 2008-01-17.

Camille Catherine Reagan's current location address is 13396 Preston Rd, Dallas, Texas. You can contact this provider via phone number 9725037272 and fax number 4132808766. The mailing address for Camille Catherine Reagan is 13396 Preston Rd, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Camille Catherine Reagan
Address 13396 Preston Rd, Dallas, Texas
Phone Number 9725037272
Fax Number 4132808766
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1215113451
Provider Enumeration Date 2008-01-17
Last Updated Date 2008-01-17

Provider Mailing Address Detail

Address 13396 Preston Rd
City Dallas
State Texas (TX)
Post Code 752405208
Phone Number 9725037272
Fax Number 4132808766

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 9065
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1194908210 TX GROUP NPI
0016QU TX BCBS GROUP NUMBER
8AT940 BCBS PROVIDER NUMBER

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FAQs about Camille Catherine Reagan

What is the Camille Catherine Reagan's unique identification number?

The Camille Catherine Reagan has been assigned the NPI (National Provider Identifier) Number 1215113451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Camille Catherine Reagan is physically located?

The Camille Catherine Reagan is situated at the following address: 13396 Preston Rd, Dallas, TX 752405208.

What is Camille Catherine Reagan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Camille Catherine Reagan is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services issue the 1215113451 to Camille Catherine Reagan?

The Camille Catherine Reagan received its 1215113451 assignment from the Centers for Medicare & Medicaid Services on 2008-01-17.

As of what date was the information pertaining to Camille Catherine Reagan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Camille Catherine Reagan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-17.

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