Organization
MEDTEX OF DALLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA BUSBY (CO-OWNER)
(708) 539-7740
Entity
Organization
Contact information
Practice address
6363 FOREST PARK RD, SUITE 810, DALLAS, TX 75235-5479
(214) 631-3139
(214) 350-1155
Mailing address
PO BOX 1390, FRANKFORT, IL 60423-7390
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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