Provider Demographics
NPI:1235638578
Name:KNIGHT, DELBERT HENRY SR
Entity Type:Individual
Prefix:MR
First Name:DELBERT
Middle Name:HENRY
Last Name:KNIGHT
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 FRANKFORD RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6100
Mailing Address - Country:US
Mailing Address - Phone:972-803-7184
Mailing Address - Fax:
Practice Address - Street 1:3621 FRANKFORD RD
Practice Address - Street 2:APT 314
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-6112
Practice Address - Country:US
Practice Address - Phone:972-803-7184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor