Provider Demographics
NPI:1295330082
Name:JOY ACKLIN DO PLLC
Entity type:Organization
Organization Name:JOY ACKLIN DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CIOFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-875-7734
Mailing Address - Street 1:12810 HILLCREST RD # B209
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1525
Mailing Address - Country:US
Mailing Address - Phone:972-292-7158
Mailing Address - Fax:877-292-2247
Practice Address - Street 1:12810 HILLCREST RD # B209
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1525
Practice Address - Country:US
Practice Address - Phone:972-292-7158
Practice Address - Fax:877-292-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty