MEDICARE: SYDNEY DACUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1407387	TX

General Provider Information

NPI Number	:	1366385635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY DACUS

Provider Business Mailing Address
First Line	:	18655 COUNTY ROAD 418
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75704-4043
Country	:	US
Telephone Number	:	903-372-0455
Fax Number	:

Provider Business Practice Location Address
First Line	:	4882 HIGHTECH DR
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-2613
Country	:	US
Telephone Number	:	903-300-0234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ SYDNEY DACUS ” Practice Location

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