Dr. Camille Catherine Reagan
Chiropractic Sports Physician
13396 Preston Rd
Dallas
, Texas 75240-5208
Dr. Camille Catherine Reagan
Chiropractic Sports Physician
13396 Preston Rd
Dallas
, Texas 75240-5208
(413) 280-8766
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Camille Catherine Reagan
- 13396 Preston Rd
- Dallas, TX
- Zip : 75240-5208
- Fax : (413) 280-8766
- Phone : (972) 503-7272
Second Address
- Dr. Camille Catherine Reagan
- 13396 Preston Rd
- Dallas, TX
- Zip : 75240-5208
- Fax : (413) 280-8766
- Phone : (972) 503-7272
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 9065 | TX |
National Provider Identifier
| NPI | 1215113451 |
|---|---|
| Provider Name | Dr. Camille Catherine Reagan |
| First Address | Dallas, TX 75240-5208 |
| Second Address | Dallas, TX 75240-5208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2008 |
| Last Update Date | 17/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0016QU | BCBS GROUP NUMBER (01) | TX |
| 1194908210 | GROUP NPI (01) | TX |
| 8AT940 | BCBS PROVIDER NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.