Organization
VA NORTH TEXAS HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROSE THOMAS (CREDENTIALING SPECIALIST)
(214) 857-4602
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4602
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
674604
TX
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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