1750695318 NPI number — DCB HEALTH, INC

Table of content: MIN ZHENG APRN, DNP (NPI 1801511688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750695318 NPI number — DCB HEALTH, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DCB HEALTH, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750695318
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2540 KING ARTHUR BLVD
Provider Second Line Business Mailing Address:
STE 130
Provider Business Mailing Address City Name:
LEWISVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75056-5512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-693-8566
Provider Business Mailing Address Fax Number:
469-362-2120

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2540 KING ARTHUR BLVD
Provider Second Line Business Practice Location Address:
STE 130
Provider Business Practice Location Address City Name:
LEWISVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75056-5512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-693-8566
Provider Business Practice Location Address Fax Number:
469-362-2120
Provider Enumeration Date:
08/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BLAGG
Authorized Official First Name:
DAWN
Authorized Official Middle Name:
BATIZ
Authorized Official Title or Position:
OWNER, DOCTOR
Authorized Official Telephone Number:
214-693-8566

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , with the licence number:  7259DC , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1316065568. . This is a "PERSONAL NPI FOR DAWN CATHERINE BATIZ BLAGG, DC, CCSP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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