Provider Demographics
NPI:1326747411
Name:HELFELDT, DANA MARIE (CSFA)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:HELFELDT
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10408 JAYBIRD DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6614
Mailing Address - Country:US
Mailing Address - Phone:817-360-8775
Mailing Address - Fax:
Practice Address - Street 1:7218 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2579
Practice Address - Country:US
Practice Address - Phone:817-360-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246ZC0007X
TX215162246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant