| Dallas Independent School District | |
|
9400 N Central Expy Ste 1305 Dallas TX 75231-4861 | |
| (972) 502-4192 | |
| (972) 794-3530 |
| Full Name | Dallas Independent School District |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 9400 N Central Expy Ste 1305, Dallas, Texas |
| Authorized Official Name and Position | Stephanie Elizalde (GENERAL SUPERINTENDENT) |
| Authorized Official Contact | 9729253700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Independent School District 9400 N Central Expy # 384 Dallas TX 75231-5027 Ph: (972) 502-4190 | Dallas Independent School District 9400 N Central Expy Ste 1305 Dallas TX 75231-4861 Ph: (972) 502-4192 |
| NPI Number | 1760522510 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 02/12/2024 |
| Certification Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760522510 | NPI | - | NPPES |
| 463016 | Other | TX | VALUE OPTION VENDOR ID |
| 1200859 04 | Medicaid | TX | |
| 213646702 | Medicaid | TX |
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