Provider Demographics
NPI:1770315442
Name:DKT FACILITY MGMT LLC
Entity type:Organization
Organization Name:DKT FACILITY MGMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALUKDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-584-4238
Mailing Address - Street 1:1402 GREY FLINT CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4540
Mailing Address - Country:US
Mailing Address - Phone:210-584-4238
Mailing Address - Fax:
Practice Address - Street 1:3411 PAESANOS PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-0002
Practice Address - Country:US
Practice Address - Phone:210-584-4238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy