MEDICARE: DALE & DELL INVESTMENTS, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)		TX

General Provider Information

NPI Number	:	1043515026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALE & DELL INVESTMENTS, LLC.

Provider Business Mailing Address
First Line	:	PO BOX 426
Second Line	:
City	:	PRAIRIE VIEW
State	:	TX
Zip	:	77446-0426
Country	:	US
Telephone Number	:	979-826-6026
Fax Number	:

Provider Business Practice Location Address
First Line	:	22300 ST. MONICA DRIVE
Second Line	:
City	:	HEMPSTEAD
State	:	TX
Zip	:	77445
Country	:	US
Telephone Number	:	979-826-6026
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SAM HAYES
Credential	:
Telephone Number	:	979-826-6026

Provider Enumeration Date	:	01/21/2011
Last Update Date	:	01/21/2011

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Directions to “DALE & DELL INVESTMENTS, LLC. ” Practice Location

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