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Organization

SOUTHEAST DALLAS HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERRICA L. BROWN (MEDICAL STAFF COORDINATOR)
(214) 590-1396
Entity
Organization

Contact information

Practice address
9202 ELAM RD, SOUTHEAST DALLAS HEALTH CENTER, DALLAS, TX 75217-4151
(214) 266-1600
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105
(214) 590-4162

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
363L00000X
Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
03/02/2006
Last updated
09/11/2025
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