Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Avir at Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK SANDERSON (BOARD PRESIDENT)
(903) 583-1854
Entity
Organization
Contact information
Practice address
4200 LIVE OAK ST, DALLAS, TX 75204-6733
(214) 821-0500
Mailing address
4200 LIVE OAK ST, DALLAS, TX 75204-6733
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/12/2022
Last updated
09/16/2025
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