Organization
DALLAS VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGIE A PRIOLEAU (PHYSICIAN ASSISTANCE)
(214) 857-1734
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1713
Mailing address
3418 JASPER DR, GRAND PRAIRIE, TX 75052-7871
(972) 352-5533
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01808
TX
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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