Organization
DALLAS VAMC
Active
Other names
FORT WORTH 1 VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
101 NEW YORK AVE, FORT WORTH, TX 76104-1558
(615) 355-3451
Mailing address
PO BOX 94493, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
01/18/2022
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