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Provident Medical Center
Clinic/Center in Dallas, Texas
NPI 1659446409

Provident Medical Center is a Clinic/Center based in Dallas, TX. Provident Medical Center practices in Dallas, TX. The NPI Number for Provident Medical Center is 1659446409 and holds a License No. E1172 (Texas).

The current practice location address for Provident Medical Center is 831 Sr L Thornton Fwy, Dallas, TX and can be reached out via phone at 214-948-7783 and via fax at 214-948-7793.

Location: 831 Sr L Thornton Fwy, Dallas, TX, 75203-2905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659446409
Provider Name
Provident Medical Center
Credential
Provider Entity Type
Organization
Address
831 Sr L Thornton Fwy, Dallas, TX, 75203-2905
Phone Number
214-948-7783
Fax Number
214-948-7793
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
831 Sr L Thornton Fwy
City
Dallas
State
Texas
Zip
75203-2905
Phone Number
214-948-7783
Fax Number
214-948-7793
person
Provider Business Mailing Address Details
Address
831 Sr L Thornton Fwy
City
Dallas
State
Texas
Zip
75203-2905
Phone Number
214-948-7783
Fax Number
214-948-7793
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
E1172 (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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