Kincaid, Darletta Joan

Kincaid, Darletta Joan is an individual health care provider with primary practice located at 760 N Denton Tap Rd Suite 130, Coppell TX 75019-2163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kincaid, Darletta Joan can be contacted via phone (972) 420-1475.

Contact Information

Primary practice address
760 N Denton Tap Rd Suite 130 Coppell TX 75019-2163
Fax: (214) 222-2435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G3518 Texas

Profile Details

NPI number 1265433650
LBN Legal business name Kincaid, Darletta Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 16th, 2010 - about 16 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 1265433650 NPPES
Texas MEDICAID 123938605
Texas Other 81M642

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