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Dickersondallaspain
Clinic/Center in Dallas, Texas
NPI 1245635150

Dickersondallaspain is a Clinic/Center based in Dallas, TX. Dickersondallaspain practices in Dallas, TX. The NPI Number for Dickersondallaspain is 1245635150 and holds a License No. J4083 (Texas).

The current practice location address for Dickersondallaspain is 5920 Forest Park Rd, Dallas, TX and can be reached out via phone at 214-231-3134 and via fax at 214-231-3133.

Location: 5920 Forest Park Rd, Dallas, TX, 75235-6411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245635150
Provider Name
Dickersondallaspain
Credential
Provider Entity Type
Organization
Address
5920 Forest Park Rd, Dallas, TX, 75235-6411
Phone Number
214-231-3134
Fax Number
214-231-3133
Provider Enumeration Date
11/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5920 Forest Park Rd
City
Dallas
State
Texas
Zip
75235-6411
Phone Number
214-231-3134
Fax Number
214-231-3133
person
Provider Business Mailing Address Details
Address
5920 Forest Park Rd
City
Dallas
State
Texas
Zip
75235-6411
Phone Number
214-231-3134
Fax Number
214-231-3133
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
J4083 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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