Healthcare Provider Details

I. General information

NPI: 1982912127
Provider Name (Legal Business Name): FRANCIS E. TACKA D.O. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3148 MATLOCK RD SUITE 505
ARLINGTON TX
76015-2991
US

IV. Provider business mailing address

3148 MATLOCK RD SUITE 505
ARLINGTON TX
76015-2991
US

V. Phone/Fax

Practice location:
  • Phone: 972-988-0844
  • Fax: 972-660-1162
Mailing address:
  • Phone: 972-988-0844
  • Fax: 972-660-1162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCIS EUGENE TACKA
Title or Position: PRESIDENT
Credential: D.O.
Phone: 972-988-0844