Basic Information
| Provider Information | |||||||||
| NPI: | 1366610230 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALLGOOD | ||||||||
| FirstName: | DANAREE | ||||||||
| MiddleName: | LYNETTE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSPT, DPT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | TACKNEY | ||||||||
| OtherFirstName: | DANAREE | ||||||||
| OtherMiddleName: | LYNETTE | ||||||||
| OtherNamePrefix: | MISS | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MSPT, DPT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 17400 DALLAS PKWY | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752877335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4693723599 | ||||||||
| FaxNumber: | 9726818727 | ||||||||
| Practice Location | |||||||||
| Address1: | 17400 DALLAS PKWY | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752877335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4693723599 | ||||||||
| FaxNumber: | 9726818727 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2008 | ||||||||
| LastUpdateDate: | 09/16/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1260250 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.