Organization · Type 2 NPI

Dallas Vamc

VA Clinic/Center · Tyler, TX

NPI number 1629459730 Active

Practice location

7916 S Broadway Ave Ste 100
Tyler, TX 75703-5275

Mailing address

PO Box 94493
Cleveland, OH 44101

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

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About NPI 1629459730

Dallas Vamc's National Provider Identifier is 1629459730, issued on Jun 15, 2015. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Tyler, TX. The record was last updated on Aug 30, 2022.