# DALLAS VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1194736991
- **Authorized official:** MS. VASHAWN KIANGA CLEMONS LMSW (SOCIAL WORKER II)
- **Authorized official phone:** (214) 857-2371

## Contact information

- **Practice address:** 4500 S LANCASTER RD, DALLAS, TX 75216-7167
- **Practice address phone:** (214) 857-2371
- **Mailing address:** 521 JUDY LN, SEAGOVILLE, TX 75159-1713
- **Mailing address phone:** (972) 287-9162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 31123 | TX | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/18/2008