| Department Of Veteran Affairs | |
|
4500 S Lancaster Rd Mh Copper Team 116a Dallas TX 75216-7167 | |
| (214) 857-0912 | |
| Not Available |
| Full Name | Department Of Veteran Affairs |
|---|---|
| Speciality | Social Worker |
| Location | 4500 S Lancaster Rd, Dallas, Texas |
| Authorized Official Name and Position | Diana Willis (MENTAL HEALTH SOCIAL WORKER) |
| Authorized Official Contact | 2148570912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veteran Affairs 610 Jagera Way Arlington TX 76002-4582 Ph: (214) 857-0912 | Department Of Veteran Affairs 4500 S Lancaster Rd Mh Copper Team 116a Dallas TX 75216-7167 Ph: (214) 857-0912 |
| NPI Number | 1992910723 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 01/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992910723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 50681 (Texas) | Primary |
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