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General NPI Number Information
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NPI Number | 1598870677
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Entity Type | Organization
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Legal Business Name | VANTXHCS
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4500 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 214-742-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 214-742-8387
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Fax |
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Authorized Official
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Title or Position | STAFF PHYSYCIAN
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Name | CEMAL UNVERDI
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Credential | M.D.
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Telephone | 214-742-8387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 34315
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License Number State | MO
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