Organization
SIDOG VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L PORTER (CEO)
(972) 684-3856
Entity
Organization
Contact information
Practice address
2759 MOJAVE DR, DALLAS, TX 75241-6416
(972) 684-3856
Mailing address
2759 MOJAVE DR, DALLAS, TX 75241-6416
(972) 684-3856
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/15/2026
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