Individual provider · Type 1 NPI

Ike Clayton Thacker, MD

Diagnostic Radiology Physician · Dallas, TX

NPI number 1720031511 Active

Practice location

3500 Gaston Ave
Dallas, TX 75246

Call (214) 826-8822 Map

Fax (214) 926-9792

Mailing address

712 N Washington Ave, Suite 101
Dallas, TX 75246-1619

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XL7215 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1720031511

Ike Clayton Thacker, MD's National Provider Identifier is 1720031511, issued on May 19, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Dallas, TX. The record was last updated on Feb 15, 2012.