# MEDTEX OF DALLAS

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

## Provider details

- **NPI number:** 1740565084
- **Authorized official:** MS. DONNA BUSBY (CO-OWNER)
- **Authorized official phone:** (708) 539-7740

## Contact information

- **Practice address:** 6363 FOREST PARK RD, SUITE 810, DALLAS, TX 75235-5479
- **Practice address phone:** (214) 631-3139
- **Practice address fax:** (214) 350-1155
- **Mailing address:** PO BOX 1390, FRANKFORT, IL 60423-7390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 10/19/2011