Jaton Pankau in Dallas - Nutrition, Pediatric

Jaton Pankau - NPI 1972789055

Jaton Pankau is a Nutrition, Pediatric in Dallas, Texas. Jaton Pankau practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Jaton Pankau is 1972789055. The last update date is 2008-01-18.

Jaton Pankau's current location address is 1935 Motor St, Dallas, Texas. You can contact this provider via phone number 2144564628 and fax number 2144566287. The mailing address for Jaton Pankau is 1935 Motor St, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaton Pankau
Address 1935 Motor St, Dallas, Texas
Phone Number 2144564628
Fax Number 2144566287
Sole Proprietor N
Credentials R.D./L.D.

NPI Number Detail

NPI Number 1972789055
Provider Enumeration Date 2008-01-18
Last Updated Date 2008-01-18

Provider Mailing Address Detail

Address 1935 Motor St
City Dallas
State Texas (TX)
Post Code 752357701
Phone Number 2144564628
Fax Number 2144566287

Provider's Primary Taxonomy Detail

Speciality Nutrition, Pediatric
Taxonomy 133Vn1004X
Licence No DT80705
Definition:
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn

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FAQs about Jaton Pankau

What is the unique 10-digit identification code assigned to Jaton Pankau by the Centers for Medicare & Medicaid Services?

The Jaton Pankau has been issued the NPI (National Provider Identifier) 1972789055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jaton Pankau is located?

The Jaton Pankau is situated at the following address: 1935 Motor St, Dallas, TX, 752357701.

What is Jaton Pankau's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jaton Pankau is Nutrition, Pediatric, and the corresponding taxonomy classification code for this specialized field is 133Vn1004X.

When did the Jaton Pankau receive its 1972789055?

The Jaton Pankau was issued its 1972789055 on 2008-01-18, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Jaton Pankau most recently updated or revised?

The information pertaining to Jaton Pankau, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-18.

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