Organization
MARTIN LUTHER KING JR FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE TAPLEY (CEO)
(214) 426-3645
Entity
Organization
Contact information
Practice address
2922 MARTIN LUTHER KING JR BLVD, B, DALLAS, TX 75215-2321
(214) 426-3645
(214) 426-6813
Mailing address
PO BOX 150128, DALLAS, TX 75315-0128
(214) 426-3645
(214) 426-6813
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
11893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130713404
—
TX
01
—
4576229
NCPDP PROVIDER ID
—
Enumeration date
01/12/2009
Last updated
07/02/2012
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