| City Of Dallas Environmental & Health Services | |
|
1500 Marilla 7an Dallas TX 75201-6318 | |
| (214) 670-0505 | |
| (214) 670-8991 |
| Full Name | City Of Dallas Environmental & Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Marilla, Dallas, Texas |
| Authorized Official Name and Position | Cheryl Mcdonald (MANAGER) |
| Authorized Official Contact | 2146700505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Dallas Environmental & Health Services 1500 Marilla 7an Dallas TX 75201-6318 Ph: (214) 670-0505 | City Of Dallas Environmental & Health Services 1500 Marilla 7an Dallas TX 75201-6318 Ph: (214) 670-0505 |
| NPI Number | 1417107061 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 10/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417107061 | NPI | - | NPPES |
| 137933103 | Medicaid | TX | |
| 137933105 | Medicaid | TX | |
| 137933106 | Medicaid | TX | |
| 137933102 | Medicaid | TX | |
| 017587901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Secondary |
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