JEFFREY M RADACK DPM PLLC NPI 1972835502

NPI Information

NPI: 1972835502
Provider Name: JEFFREY M RADACK DPM PLLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
8951 COLLIN MCKINNEY PKWY STE 603
MCKINNEY, TX
ZIP 75070
Phone: (469) 742-0406
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JEFFREY M RADACK DPM PLLC is a podiatric clinic center in Mckinney, TX. JEFFREY M RADACK DPM PLLC NPI is 1972835502. The provider is registered as an organization entity type.

The provider's business location address is:

8951 COLLIN MCKINNEY PKWY STE 603
MCKINNEY, TX
ZIP 75070-007
Phone: (469) 742-0406
Fax: (469) 952-2806

The provider's authorized official is Jeffrey M. Radack .
The authorized official title is Physician and has the following contact phone number (469) 742-0406.

The enumeration date for this NPI number is 2/7/2010 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	1617	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6656030001	OTHER	TEXAS	DME PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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