Wukich, Dane Kent

Wukich, Dane Kent is an individual health care provider with primary practice located at 1801 Inwood Rd , Dallas TX 75390-8883. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Wukich, Dane Kent can be contacted via phone (214) 645-3300.

Contact Information

Primary practice address
1801 Inwood Rd Dallas TX 75390-8883
Fax: (294) 645-3301
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R0524 Texas
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X R0524 Texas

Profile Details

NPI number 1184690489
LBN Legal business name Wukich, Dane Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 10th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184690489 NPPES
Texas MEDICAID 001239430

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