Organization · Type 2 NPI

Provident Medical Center

Clinic/Center · Dallas, TX

NPI number 1659446409 Active

Practice location

831 Sr L Thornton Fwy
Dallas, TX 75203-2905

Call (214) 948-7783 Map

Fax (214) 948-7793

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XE1172 (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).

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About NPI 1659446409

Provident Medical Center's National Provider Identifier is 1659446409, issued on Nov 21, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 6, 2023.