Organization
JEFFREY M RADACK DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M. RADACK DPM (PHYSICIAN)
(469) 742-0406
Entity
Organization
Contact information
Practice address
8951 COLLIN MCKINNEY PKWY STE 603, MCKINNEY, TX 75070-1007
(469) 742-0406
(469) 952-2806
Mailing address
8951 COLLIN MCKINNEY PKWY STE 603, MCKINNEY, TX 75070-1007
(469) 742-0406
(469) 952-2806
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
1617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6656030001
DME PTAN
TX
Enumeration date
02/07/2010
Last updated
12/14/2021
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