Provider Demographics
NPI:1013192756
Name:DAVID KAFF, P.C.
Entity Type:Organization
Organization Name:DAVID KAFF, P.C.
Other - Org Name:FRISCO SPINAL REHABILIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-712-7744
Mailing Address - Street 1:3550 PARKWOOD BLVD STE A206
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1903
Mailing Address - Country:US
Mailing Address - Phone:972-712-7744
Mailing Address - Fax:972-668-7762
Practice Address - Street 1:3550 PARKWOOD BLVD STE A206
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1903
Practice Address - Country:US
Practice Address - Phone:972-712-7744
Practice Address - Fax:972-668-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8W2590OtherBCBS
TX609674Medicare PIN
8W2590OtherBCBS