# DEPARTMENT OF VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134139603
- **Authorized official:** DEBRA JANE NORTH RD (DIETITIAN)
- **Authorized official phone:** (214) 857-0091

## Contact information

- **Practice address:** 4500 S LANCASTER RD, DALLAS, TX 75216-7167
- **Practice address phone:** (214) 857-0091
- **Mailing address:** 4500 S LANCASTER RD, DALLAS, TX 75216-7167
- **Mailing address phone:** (214) 857-0091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 933401 | TX | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 08/08/2008