# CHILDREN'S MEDICAL CENTER DALLAS

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

## Provider details

- **NPI number:** 1700183860
- **Authorized official:** DR. SAILAJA GOLLA MD (RESIDENT)
- **Authorized official phone:** (214) 456-8242

## Contact information

- **Practice address:** 1935 MEDICAL DISTRICT DR, WAYFIND D7023, DALLAS, TX 75235-7701
- **Practice address phone:** (214) 456-7354
- **Mailing address:** 1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 789804 | TX | Yes |

## Other

- **Enumeration date:** 02/24/2011
- **Last updated:** 02/24/2011