Jacy L Retz is a Critical Care Medicine in Dallas, Texas. Jacy L Retz practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jacy L Retz is 1285667089. The last update date is 2019-02-06.
Jacy L Retz's current location address is Po Box 846098, Dallas, Texas. You can contact this provider via phone number 9033246450. The mailing address for Jacy L Retz is Po Box 846098, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacy L Retz |
|---|---|
| Address | Po Box 846098, Dallas, Texas |
| Phone Number | 9033246450 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285667089 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2019-02-06 |
Provider Mailing Address Detail
| Address | Po Box 846098 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752846098 |
| Phone Number | 9033246450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 2002001742 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1285667089 | TX | BLUE CROSS BLUE SHIELD | |
| 217643003 | TX | -- | |
| 75-2616977-042 | TX | TRICARE | |
| 810000902 | RR MEDICARE | ||
| 8EB371 | TX | BCBS BLUE | |
| 100227160A | OK | -- | |
| 205785108 | MO | -- | |
| 100416540A | KS | -- | |
| P01290935 | TX | RAIL ROAD | |
| 144600 | MO | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Jacy L Retz by the Centers for Medicare & Medicaid Services?
The Jacy L Retz has been assigned the NPI (National Provider Identifier) 1285667089. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jacy L Retz's physical address?
The Jacy L Retz is physically located at Po Box 846098, in the city of Dallas, TX, with the postal code 752846098.
What is the area of specialization for Jacy L Retz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacy L Retz is Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0200X.
On what date was the 1285667089 assigned to Jacy L Retz?
The Jacy L Retz was issued its 1285667089 on 2006-07-08, 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 Jacy L Retz last refreshed?
The information related to the Jacy L Retz, including its address, specialty, and other relevant details, was last updated on 2019-02-06.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA