Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Moody Outpatient Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO CASTANEDA (EXEC VP & CHIEF OPERATING OFFICER)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5151 MAPLE AVE # 1-1676, DALLAS, TX 75235-8136
(142) 590-6323
(142) 590-6160
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-1976
(469) 419-6210
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4633300002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4539067
NCPDP
TX
Enumeration date
09/09/2005
Last updated
06/03/2024
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