Lackan, Darren Wayne
Lackan, Darren Wayne is an individual health care provider with primary practice located at 7801 Oakmont Blvd Suite 101, Fort Worth TX 76132-4204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Lackan, Darren Wayne can be contacted via phone (817) 263-0007.Contact Information
Primary practice address
7801 Oakmont Blvd Suite 101
Fort Worth TX 76132-4204
Phone: (817) 263-0007
Fax: (817) 263-1118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L6481 | Texas |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | L6481 | Texas |
Profile Details
| NPI number | 1053347534 |
|---|---|
| LBN Legal business name | Lackan, Darren Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Nov 14th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053347534 | NPPES |
| Texas | MEDICAID | 163330703 |
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