Organization
CHILDREN'S HEALTH SYSTEM OF TEXAS
Active
Other names
Children's Medical Center of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S FRIES (CHIEF FINANCIAL OFFICER)
(214) 456-7000
Entity
Organization
Contact information
Practice address
1250 W MOCKINGBIRD LN STE 500, DALLAS, TX 75247-6934
(214) 456-8800
(214) 456-8812
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-8800
(214) 456-8812
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
261QD0000X
Dental Clinic/Center
Primary
0143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091295801
—
TX
01
—
138910815
DENTAL GROUP CSHCN
TX
01
—
G60143
DENTAL GROUP CHIP
TX
Enumeration date
06/11/2007
Last updated
11/18/2025
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