Jerre Tiede Vandenbent in Dallas - Pediatrics
Jerre Tiede Vandenbent - NPI 1467578823
Jerre Tiede Vandenbent is a Pediatrics in Dallas, Texas. Jerre Tiede Vandenbent practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jerre Tiede Vandenbent is 1467578823. The last update date is 2007-07-08.
Jerre Tiede Vandenbent's current location address is 2535 Lone Star Dr, Dallas, Texas. You can contact this provider via phone number 2144679787. The mailing address for Jerre Tiede Vandenbent is 2535 Lone Star Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerre Tiede Vandenbent |
|---|---|
| Address | 2535 Lone Star Dr, Dallas, Texas |
| Phone Number | 2144679787 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1467578823 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2535 Lone Star Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752126313 |
| Phone Number | 2144679787 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1084499 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Post Comment/ Review Below
What is the unique identifier code issued to Jerre Tiede Vandenbent by the Centers for Medicare & Medicaid Services (CMS)?
The Jerre Tiede Vandenbent has been assigned the NPI (National Provider Identifier) 1467578823. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jerre Tiede Vandenbent is physically located?
The Jerre Tiede Vandenbent is situated at the following address: 2535 Lone Star Dr, Dallas, TX 752126313.
What is Jerre Tiede Vandenbent's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerre Tiede Vandenbent is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.
On what date was the 1467578823 assigned to Jerre Tiede Vandenbent?
The Jerre Tiede Vandenbent was issued its 1467578823 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jerre Tiede Vandenbent's information last updated?
The Jerre Tiede Vandenbent's information was last updated on 2007-07-08.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA