# DALLAS VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1548400609
- **Authorized official:** ESTHER RUCKMAN (LICENSED MASTER SOCIAL WORKER)
- **Authorized official phone:** (214) 742-8387

## Contact information

- **Practice address:** 4500 S LANCASTER RD, DALLAS, TX 75216-7167
- **Practice address phone:** (214) 742-8387
- **Mailing address:** 4500 S LANCASTER RD, DALLAS, TX 75216-7167
- **Mailing address phone:** (214) 742-8387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 14763 | TX | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 03/03/2009