Organization · Type 2 NPI

Dickersondallaspain

Clinic/Center · Dallas, TX

NPI number 1245635150 Active

Practice location

5920 Forest Park Rd, Suite 540
Dallas, TX 75235-6411

Call (214) 231-3134 Map

Fax (214) 231-3133

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XJ4083 (TX)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

57 other providers at this address

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About NPI 1245635150

Dickersondallaspain's National Provider Identifier is 1245635150, issued on Nov 4, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dallas, TX. The record was last updated on Nov 4, 2014.