Jody D. Mackling is a Pediatrics in Dallas, Texas. Jody D. Mackling practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jody D. Mackling is 1457540510. The last update date is 2012-09-26.
Jody D. Mackling's current location address is 1935 Medical District Drive, Dallas, Texas. You can contact this provider via phone number 2144568000. The mailing address for Jody D. Mackling is 1935 Medical District Drive, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody D. Mackling |
|---|---|
| Address | 1935 Medical District Drive, Dallas, Texas |
| Phone Number | 2144568000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1457540510 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | 1935 Medical District Drive |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 75235 |
| Phone Number | 2144568000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 671189 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 752616977118 | TX | TRICARE | |
| 886N35 | TX | BCBS | |
| 192349205 | TX | -- | |
| 75-2616977-027 | TX | TRICARE | |
| 855N92 | TX | BCBS | |
| 192349204 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jody D. Mackling by the Centers for Medicare & Medicaid Services?
The Jody D. Mackling has been assigned the NPI (National Provider Identifier) 1457540510. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jody D. Mackling is located?
The Jody D. Mackling is situated at the following address: 1935 Medical District Drive, Dallas, TX, 75235.
What is the area of specialization for Jody D. Mackling, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jody D. Mackling is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457540510 to Jody D. Mackling?
The Centers for Medicare & Medicaid Services originally issued the 1457540510 to Jody D. Mackling on 2007-10-15.
When was the information regarding Jody D. Mackling, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jody D. Mackling, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-26.
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