Organization
COMMUNITY HEALTH INTEGRATED SERVICES OF TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABETHA MCLEMORE (REGISTERED AGENT)
(214) 753-6163
Entity
Organization
Contact information
Practice address
4758 VETERANS DR, DALLAS, TX 75216-7104
(214) 702-4350
(214) 572-7322
Mailing address
PO BOX 171295, DALLAS, TX 75217-1155
(214) 702-4350
(214) 572-7322
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
013699
TX
253Z00000X
In Home Supportive Care Agency
013699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2851362
—
TX
05
—
285136201
—
TX
05
—
285136202
—
TX
Enumeration date
03/29/2010
Last updated
04/29/2014
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