| Children's Medical Center Of Dallas | |
|
1250 W Mockingbird Ln Ste 500 Dallas TX 75247-6934 | |
| (214) 456-8800 | |
| (214) 456-8812 |
| Full Name | Children's Medical Center Of Dallas |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1250 W Mockingbird Ln Ste 500, Dallas, Texas |
| Authorized Official Name and Position | Robert S Fries (EXECUTIVE VICE PRESIDENT, CFO) |
| Authorized Official Contact | 2144567000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Medical Center Of Dallas 1935 Medical District Dr Dallas TX 75235-7701 Ph: (214) 456-8800 | Children's Medical Center Of Dallas 1250 W Mockingbird Ln Ste 500 Dallas TX 75247-6934 Ph: (214) 456-8800 |
| NPI Number | 1356544803 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356544803 | NPI | - | NPPES |
| G60143 | Other | TX | DENTAL GROUP CHIP |
| 091295801 | Medicaid | TX | |
| 138910815 | Other | TX | DENTAL GROUP CSHCN |
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