Daltak in Desoto - Orthopedic

Daltak - NPI 1073708160

Daltak is a Orthopedic in Desoto, Texas. Daltak practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Daltak is 1073708160. The last update date is 2007-09-11.

Daltak's current location address is 314 S Hampton Rd, Desoto, Texas. You can contact this provider via phone number 9722235055 and fax number 9722235353. The mailing address for Daltak is 314 S Hampton Rd, Desoto, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Daltak
Address 314 S Hampton Rd, Desoto, Texas
Phone Number 9722235055
Fax Number 9722235353
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Baugher C. David
Credentials DC
Telephone Number 9722235055

NPI Number Detail

NPI Number 1073708160
Provider Enumeration Date 2007-09-11
Last Updated Date 2007-09-11

Provider Mailing Address Detail

Address 314 S Hampton Rd
City Desoto
State Texas (TX)
Post Code 751155746
Phone Number 9722235055
Fax Number 9722235353

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 111Nx0800X
Licence No 4574
Definition:
Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0038 PM TX BCBSTX GROUP NO.
8X9480 TX BCBSTX PROVIDER NO.

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FAQs about Daltak

What is the unique identifier code issued to Daltak by the Centers for Medicare & Medicaid Services (CMS)?

The Daltak has been assigned the NPI (National Provider Identifier) 1073708160. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Daltak?

The Daltak is physically situated at 314 S Hampton Rd, in the city of Desoto, state of TX, with the postal code 751155746.

What is the Daltak's area of specialization and corresponding taxonomy classification?

The Daltak's specialty field is Orthopedic, and it falls under the taxonomy code 111Nx0800X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1073708160 to Daltak?

The Daltak received its 1073708160 assignment from the Centers for Medicare & Medicaid Services on 2007-09-11.

When was the information related to Daltak most recently updated or refreshed?

The details pertaining to the Daltak, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-11.

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