# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avir at Dallas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386399947
- **Authorized official:** CLARK SANDERSON (BOARD PRESIDENT)
- **Authorized official phone:** (903) 583-1854

## Contact information

- **Practice address:** 4200 LIVE OAK ST, DALLAS, TX 75204-6733
- **Practice address phone:** (214) 821-0500
- **Mailing address:** 4200 LIVE OAK ST, DALLAS, TX 75204-6733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2022
- **Last updated:** 09/16/2025
