# MARTIN LUTHER KING JR FAMILY CLINIC

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

## Provider details

- **NPI number:** 1841288602
- **Authorized official:** MS. CHANTEL DENISE MILLER BILLING (BILLING/CREDENTIALING COORDINATOR)
- **Authorized official phone:** (214) 426-3645

## Contact information

- **Practice address:** 2922-B MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2471
- **Practice address phone:** (214) 426-3645
- **Practice address fax:** (214) 426-6813
- **Mailing address:** 2922-B MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215
- **Mailing address phone:** (214) 426-3645
- **Mailing address fax:** (214) 426-6813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | TX | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 08/22/2020