Organization
DALLAS VAMC
Active
Organization
DALLAS VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE WITHERSPPOON R.N. (STAFF NURSE)
(214) 857-0837
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, 116, DALLAS, TX 75216-7167
(214) 857-0837
Mailing address
1211 HOLLY GLEN DR, DALLAS, TX 75232
(214) 371-3956
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
07/09/2008
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