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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA JANE NORTH RD (DIETITIAN)
(214) 857-0091
Entity
Organization

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0091
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0091

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
933401
TX

Other

Enumeration date
08/08/2006
Last updated
08/08/2008
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