Organization
MARTIN LUTHER KING JR FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIE LYON ALLEN (COO)
(214) 426-3645
Entity
Organization
Contact information
Practice address
10327 RYLIE RD OFC 4, DALLAS, TX 75217-8240
(214) 426-3645
(214) 446-2018
Mailing address
PO BOX 150128, DALLAS, TX 75315-0128
(214) 426-3645
(214) 446-2018
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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