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NPI Code Detail

MEDICARE: DALLAS METROCARE

MEDICARE: DALLAS METROCARE
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
1305S00000XPoint of ServiceTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160857OTHERTXLPC
260857OTHERTXLPC TEMPORARY ID

General Provider Information

NPI Number : 1952325656
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS METROCARE
Provider Business Mailing Address
First Line : 5713 GUADALAJARA DR
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6123
Country : US
Telephone Number : 469-831-8439
Fax Number :
Provider Business Practice Location Address
First Line : 1380 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4914
Country : US
Telephone Number : 214-743-1200
Fax Number :
Authorized Official
Title or Position : CLINICAL MANAGER
Name : MS. DIANE PARTIN
Credential : LPC
Telephone Number : 469-831-8439
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/21/2022

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Directions to “DALLAS METROCARE ” Practice Location

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