Organization
VA NORTH TEXAS HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA TAYLOR (MEDICAL STAFF- CREDENTIALING)
(214) 857-1707
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, 116A- GOLD, DALLAS, TX 75216-7167
(214) 857-4477
Mailing address
PO BOX 14517, ARLINGTON, TX 76094-1517
(512) 484-9970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37092
TX
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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