Healthcare Provider Details

I. General information

NPI: 1871612101
Provider Name (Legal Business Name): DALLAS MEDHEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 N COIT RD #2403A
RICHARDSON TX
75080-5416
US

IV. Provider business mailing address

970 N COIT RD #2403A
RICHARDSON TX
75080-5416
US

V. Phone/Fax

Practice location:
  • Phone: 972-437-9772
  • Fax: 972-437-9760
Mailing address:
  • Phone: 972-437-9772
  • Fax: 972-437-9760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: INESSA MARGULIS
Title or Position: MANAGER
Credential:
Phone: 972-437-9772