Individual
DANNY TREW DECKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3500 OAK LAWN, STE 600, DALLAS, TX 75219-4308
(214) 520-8833
(214) 520-2956
Mailing address
832 N WINNETKA AVE, DALLAS, TX 75208-3747
(214) 520-8833
(214) 520-2956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02811
TX
Other
Enumeration date
12/18/2009
Last updated
02/11/2010
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