Healthcare Provider Details

I. General information

NPI: 1275756389
Provider Name (Legal Business Name): METROCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 N WESTMORELAND RD
DALLAS TX
75211-1655
US

IV. Provider business mailing address

1353 N WESTMORELAND RD
DALLAS TX
75211-1655
US

V. Phone/Fax

Practice location:
  • Phone: 214-333-7031
  • Fax: 214-467-7520
Mailing address:
  • Phone: 214-333-7031
  • Fax: 214-467-7520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. DARLENE GENELL HALL
Title or Position: QMHP
Credential:
Phone: 214-333-7031