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NPI Code Detail

MEDICARE: DALLAS METROCARE SERVICES

MEDICARE: DALLAS METROCARE SERVICES
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
1101YP2500XProfessional Counselor14334TX

General Provider Information

NPI Number : 1922029545
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS METROCARE SERVICES
Provider Business Mailing Address
First Line : 1380 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4914
Country : US
Telephone Number : 214-743-1274
Fax Number : 214-630-3469
Provider Business Practice Location Address
First Line : 1380 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4914
Country : US
Telephone Number : 214-743-1274
Fax Number : 214-630-3469
Authorized Official
Title or Position : PAYROLL COORDINATOR
Name : MS. ASHANTI ISLAND
Credential :
Telephone Number : 214-743-6170
Provider Enumeration Date : 07/21/2006
Last Update Date : 08/22/2020

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Directions to “DALLAS METROCARE SERVICES ” Practice Location

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