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Jill A Radack

Pediatric Endocrinologist

1500 Cooper St
Fort Worth , Texas 76104-2710

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Jill A Radack

Pediatric Endocrinologist

1500 Cooper St
Fort Worth , Texas 76104-2710

(682) 885-1396

Write a Review Save Call

Jill A Radack

Pediatric Endocrinologist

1500 Cooper St
Fort Worth , Texas 76104-2710

(682) 885-1396 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Endocrinologist

Languages spoken

  • English

Location

1500 Cooper St Fort Worth , Texas 76104-2710

First Address

  • Jill A Radack
  • Po Box 733784
  • Dallas, TX
  • Zip : 75373-3784
  • Fax : (682) 885-1396
  • Phone : (682) 885-1855

Second Address

  • Jill A Radack
  • 1500 Cooper St
  • Fort Worth, TX
  • Zip : 76104-2710
  • Fax : (682) 885-1327
  • Phone : (682) 885-7960

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FAQs


Where did Jill A Radack attend graduate school?

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Where did Jill A Radack do her residency?

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Where did Jill A Radack do her fellowship?

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Is Jill A Radack board certified?

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What type of doctor is Jill A Radack

Pediatric Endocrinologist

In what state does Jill A Radack practice in?

Texas

Where is Jill A Radack ’s practice located?

1500 Cooper St , Fort Worth, Texas, 76104-2710

What is Jill A Radack ’s gender?

Female

Is Jill A Radack a sole practitioner?

No

Is Jill A Radack accepting new patients?

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What languages does Jill A Radack speak?

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Does Jill A Radack accept insurance?

Yes, Jill A Radack accepts insurance

Does Jill A Radack offers telemedicine?

Jill A Radack has not indicated if she offers telemedicine

What is Jill A Radack ’s professional license number?

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What is Jill A Radack ’s NPI number?

1306036686

Does Jill A Radack have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2080P0205X Pediatric Endocrinologist M0093 TX

National Provider Identifier

NPI 1306036686
Provider Name Jill A Radack
First Address Dallas, TX 75373-3784
Second Address Fort Worth, TX 76104-2710
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/08/2007
Last Update Date 21/04/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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