Healthcare Provider Details

I. General information

NPI: 1811547607
Provider Name (Legal Business Name): RESOURCE CENTER OF DALLAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 09/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 REAGAN ST
DALLAS TX
75219-3403
US

IV. Provider business mailing address

2701 REAGAN ST
DALLAS TX
75219-3403
US

V. Phone/Fax

Practice location:
  • Phone: 214-540-4492
  • Fax: 214-615-1387
Mailing address:
  • Phone: 214-540-4492
  • Fax: 214-615-1387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: GENE W VOSKUHL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 214-540-4492