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Organization

DEFENSE FINANCE

Active
Parent organization
DEPT OF VETERANS AFFAIRS
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEPT OF VETERANS AFFAIRS
Authorized official
MRS. PAULINE MCLARTY-NEVERS NP (ACUTE CARE NURSE PRACTITIONER)
(972) 264-2055
Entity
Organization

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1660
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1660

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
654559
TX

Other

Enumeration date
03/07/2012
Last updated
03/07/2012
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