Organization
DSM HEALTHCARE VENTURES, LLC
Active
Parent organization
DSM HEALTHCARE VENTURES, LLC
Other names
Tritrax Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
DSM HEALTHCARE VENTURES, LLC
Authorized official
MS. LAUREN VIELMA COBLER (ADMINISTRATOR)
(817) 652-2924
Entity
Organization
Contact information
Practice address
1901 N HWY 360 STE 410, GRAND PRAIRIE, TX 75050-1431
(817) 652-2924
(855) 239-3636
Mailing address
1901 N HWY 360 STE 410, GRAND PRAIRIE, TX 75050-1431
(972) 239-3633
(972) 239-3636
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018505
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
TX
05
—
168342703
—
TX
Enumeration date
11/09/2010
Last updated
07/15/2019
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