| Metrocare | |
|
3330 S Lancaster Rd Dallas TX 75216-4531 | |
| (214) 371-0474 | |
| (214) 371-3933 |
| Full Name | Metrocare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3330 S Lancaster Rd, Dallas, Texas |
| Authorized Official Name and Position | Lazane Sherilyn Walls (CLINICAL MANAGER III) |
| Authorized Official Contact | 9728615917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metrocare 3330 S Lancaster Rd Dallas TX 75216-4531 Ph: (214) 371-0474 | Metrocare 3330 S Lancaster Rd Dallas TX 75216-4531 Ph: (214) 371-0474 |
| NPI Number | 1699021089 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699021089 | NPI | - | NPPES |
| 0291080-03 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15910 (Texas) | Primary |
| 251S00000X | Community/behavioral Health | 8802 (Texas) | Secondary |
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