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Individual

DR. DARREN WAYNE LACKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6844 HARRIS PKWY STE 300, FT WORTH, TX 76132-4281
(817) 263-0007
(817) 263-1118
Mailing address
6844 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4281
(817) 263-0007
(817) 263-1118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L6481
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L6481
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163330703
TX
Enumeration date
06/25/2006
Last updated
09/23/2025
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