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Organization

DEPARTMENT OF VETERAN AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIM FITE-THURSTON LCSW (CHIEF)
(214) 857-0380
Entity
Organization

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1984
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1984

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
60351
TX

Other

Enumeration date
04/30/2015
Last updated
04/30/2015
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