Individual
DR. ALAN P.B DACKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2900
(214) 645-8161
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-2900
(214) 645-8161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D61153
MD
208600000X
Surgery Physician
Primary
K6557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404012100
—
MD
Enumeration date
06/17/2006
Last updated
09/16/2014
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