Provident Medical Center
Provident Medical Center is a Clinic/Center in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
831 Sr L Thornton FwyDallas, TX 75203-2905
Phone: (214) 948-7783
Fax: (214) 948-7793
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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 E1172 (TX) |
|---|
Record details
| NPI number | 1659446409 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Washington — Owner Administrator · (214) 948-7783 |
| Other names | Clinic |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | September 6, 2023 |
| Mailing address | 831 Sr L Thornton Fwy, Dallas, TX 75203-2905 |
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