DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER

MEDICARE: DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
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
13336M0002XMail Order Pharmacy
2333600000XPharmacy
33336C0002XClinic Pharmacy969TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12095119OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104910413
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Provider Business Mailing Address
First Line : 3242 REMOND DR
Second Line :
City : DALLAS
State : TX
Zip : 75211-1654
Country : US
Telephone Number : 214-330-0036
Fax Number : 214-333-2762
Provider Business Practice Location Address
First Line : 3230 REMOND DR
Second Line : SUITE 162
City : DALLAS
State : TX
Zip : 75211-1654
Country : US
Telephone Number : 214-330-0036
Fax Number : 214-333-2762
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : MIN SEO CHEON KIM
Credential :
Telephone Number : 214-743-6180
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/26/2025

Similar Medicare Providers

1558379784 — MR. GILBERT D MELCHOR LPC
Practice Location Address:
1350 N WESTMORELAND RD
DALLAS, TX
75211-1654
Practice Phone: 214-743-6177
Practice Fax:
1437267317 — TERI L COKER LVN
Practice Location Address:
1350 N WESTMORELAND RD
DALLAS, TX
75211-1654
Practice Phone: 214-330-0036
Practice Fax:
1225114192 — MR. MARCO ANTONIO COLON APN.
Practice Location Address:
1350 N WESTMORELAND DR
DALLAS, TX
75211-1654
Practice Phone: 214-330-0036
Practice Fax:
1649494394 — MR. JORGE LUIS HERNANDEZ
Practice Location Address:
1350 N WESTMORELAND RD
DALLAS, TX
75211-1654
Practice Phone: 214-330-0036
Practice Fax: 214-337-3905
1467677526 — MRS. MARIA DEL PILAR BERASTAIN
Practice Location Address:
1350 N WESTMORELAND RD
DALLAS, TX
75211-1654
Practice Phone: 214-330-0036
Practice Fax: 214-337-3905
1578783122 — TANIKA CHAPMAN B.S
Practice Location Address:
1350 N WESTMORELAND RD
DALLAS, TX
75211-1654
Practice Phone: 214-330-0036
Practice Fax:

Directions to “DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.