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Organization

DALLAS VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA RAQUEL RADCLIFF L.M.S.W. (SOCIAL WORKER)
(214) 857-0365
Entity
Organization

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0365
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0365

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
60647
TX

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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