Organization
BCA TXHML
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTINA L BROWN-SIMS (CEO)
(469) 774-1070
Entity
Organization
Contact information
Practice address
101 SW DALLAS ST, GRAND PRAIRIE, TX 75051-1735
(972) 263-8223
Mailing address
PO BOX 530652, GRAND PRAIRIE, TX 75053-0652
(972) 263-8223
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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