Kenneth Lustik is a Radiology in Dallas, Texas. Kenneth Lustik practices all healthcare services and medical treatments related to Radiology. The NPI Number for Kenneth Lustik is 1356408694. The last update date is 2007-07-08.
Kenneth Lustik's current location address is 718 N Buckner Blvd Ste 104, Dallas, Texas. You can contact this provider via phone number 2146600800 and fax number 2146600804. The mailing address for Kenneth Lustik is 718 N Buckner Blvd Ste 104, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lustik |
|---|---|
| Address | 718 N Buckner Blvd Ste 104, Dallas, Texas |
| Phone Number | 2146600800 |
| Fax Number | 2146600804 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1356408694 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 718 N Buckner Blvd Ste 104 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752182764 |
| Phone Number | 2146600800 |
| Fax Number | 2146600804 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 111Nr0200X |
| Licence No | 6455 |
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Definition: Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutio |
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What is the Kenneth Lustik's unique identification number?
The Kenneth Lustik has been assigned the NPI (National Provider Identifier) Number 1356408694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kenneth Lustik is geographically located?
The Kenneth Lustik is physically situated at the following location: 718 N Buckner Blvd Ste 104, Dallas, TX, 752182764.
What is the Kenneth Lustik's specialty and taxonomy code?
The Kenneth Lustik's specialty is Radiology, and the corresponding taxonomy code is 111Nr0200X.
When did the Kenneth Lustik receive its 1356408694?
The Kenneth Lustik was issued its 1356408694 on 2007-01-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kenneth Lustik, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Lustik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA