Doctor Name: | DUSTIN JOE TABOR |
NPI Number: | 1023343068 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 1192177 |
Business Practice Address: | 9301 N Central Expy Ste 400 Dallas, TX - 752310805 |
Business Phone Number: | 2142202468 |
Business Fax Number: | |
Mailing Address: | 203 Bull Durham Rd, WILLS POINT |
State: | TX |
Postal Code: | 751691169 |
Phone Number: | 2146822955 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2009 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1192177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |