Healthcare Provider Details

I. General information

NPI: 1851396030
Provider Name (Legal Business Name): BUCKNER CHILDREN & FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 S BUCKNER BLVD
DALLAS TX
75227-2006
US

IV. Provider business mailing address

5200 S BUCKNER BLVD
DALLAS TX
75227-2006
US

V. Phone/Fax

Practice location:
  • Phone: 214-328-3141
  • Fax:
Mailing address:
  • Phone: 214-328-3141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: JOANN COLE
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-321-4512