Organization
DALTAK
Active
Other names
DeSoto Wellness & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C. BAUGHER DC (OWNER)
(972) 223-5055
Entity
Organization
Contact information
Practice address
314 S HAMPTON RD, DESOTO, TX 75115-5746
(972) 223-5055
(972) 223-5353
Mailing address
314 S HAMPTON RD, DESOTO, TX 75115-5746
(972) 223-5055
(972) 223-5353
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038 PM
BCBSTX GROUP NO.
TX
01
—
8X9480
BCBSTX PROVIDER NO.
TX
Enumeration date
09/11/2007
Last updated
09/11/2007
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