Dickersondallaspain
Dickersondallaspain is a Clinic/Center in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
Practice location Address checks out
5920 Forest Park Rd Ste 540Dallas, TX 75235-6411
Phone: (214) 231-3134
Fax: (214) 231-3133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence J4083 (TX) |
|---|
Record details
| NPI number | 1245635150 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Dickerson — President · (214) 231-3134 |
| NPI enumerated | November 4, 2014 |
| Last updated in NPPES | November 4, 2014 |
| Mailing address | 5920 Forest Park Rd, Suite 540, Dallas, TX 75235-6411 |
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