Dylan Paul Thaxton in Malvern - Family Medicine
Dylan Paul Thaxton - NPI 1609040849
Dylan Paul Thaxton is a Family Medicine in Malvern, Arkansas. Dylan Paul Thaxton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dylan Paul Thaxton is 1609040849. The last update date is 2009-11-03.
Dylan Paul Thaxton's current location address is 2223 Grant St, Malvern, Arkansas. You can contact this provider via phone number 5013379031 and fax number 5013379033. The mailing address for Dylan Paul Thaxton is 2223 Grant St, Malvern, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dylan Paul Thaxton |
|---|---|
| Address | 2223 Grant St, Malvern, Arkansas |
| Phone Number | 5013379031 |
| Fax Number | 5013379033 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609040849 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2009-11-03 |
Provider Mailing Address Detail
| Address | 2223 Grant St |
|---|---|
| City | Malvern |
| State | Arkansas (AR) |
| Post Code | 721044700 |
| Phone Number | 5013379031 |
| Fax Number | 5013379033 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2007018509 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 170953001 | AR | -- | |
| 1609040849 | MO | -- | |
| 200594090 A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dylan Paul Thaxton by the Centers for Medicare & Medicaid Services?
The Dylan Paul Thaxton has been assigned the NPI (National Provider Identifier) 1609040849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Dylan Paul Thaxton is physically located?
The Dylan Paul Thaxton is physically situated at the following address: 2223 Grant St, Malvern, AR, 721044700.
What is the Dylan Paul Thaxton's specialty and taxonomy code?
The Dylan Paul Thaxton's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1609040849 assigned to Dylan Paul Thaxton?
The Dylan Paul Thaxton was issued its 1609040849 on 2008-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dylan Paul Thaxton last refreshed?
The information related to the Dylan Paul Thaxton, including its address, specialty, and other relevant details, was last updated on 2009-11-03.