Provider Demographics
NPI:1750695318
Name:DCB HEALTH, INC
Entity type:Organization
Organization Name:DCB HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:BATIZ
Authorized Official - Last Name:BLAGG
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:214-693-8566
Mailing Address - Street 1:2540 KING ARTHUR BLVD
Mailing Address - Street 2:STE 130
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5512
Mailing Address - Country:US
Mailing Address - Phone:214-693-8566
Mailing Address - Fax:469-362-2120
Practice Address - Street 1:2540 KING ARTHUR BLVD
Practice Address - Street 2:STE 130
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-5512
Practice Address - Country:US
Practice Address - Phone:214-693-8566
Practice Address - Fax:469-362-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7259DC261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316065568.OtherPERSONAL NPI FOR DAWN CATHERINE BATIZ BLAGG, DC, CCSP