Organization
BAYLOR COMMUNITY CARE- CITYSQUARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ALLEN (PRACTICE ADMINISTRATOR)
(214) 421-1783
Entity
Organization
Contact information
Practice address
2835 GRAND AVE, DALLAS, TX 75215-1647
(214) 421-1783
(214) 421-8224
Mailing address
2835 GRAND AVE, DALLAS, TX 75215-1647
(214) 421-1783
(214) 421-8224
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
07675
TX
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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