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Organization
MARTIN LUTHER KING JR FAMILY CLINIC
Active
Organization
MARTIN LUTHER KING JR FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE TAPLEY (CEO)
(214) 426-3645
Entity
Organization
Contact information
Practice address
2922 MARTIN LUTHER KING JR BLVD, B, DALLAS, TX 75215-2321
(214) 426-3645
(214) 426-6813
Mailing address
PO BOX 150128, DALLAS, TX 75315-0128
(214) 426-3645
(214) 426-6813
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
11893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130713404
—
TX
01
—
4576229
NCPDP PROVIDER ID
—
Enumeration date
01/12/2009
Last updated
07/02/2012
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