MEDICARE: CITY OF DALLAS ENVIRONMENTAL AND HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency		TX

General Provider Information

NPI Number	:	1043477805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF DALLAS ENVIRONMENTAL AND HEALTH

Provider Business Mailing Address
First Line	:	300 N EWING AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-2342
Country	:	US
Telephone Number	:	214-670-0556
Fax Number	:	214-670-6897

Provider Business Practice Location Address
First Line	:	300 N EWING AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-2342
Country	:	US
Telephone Number	:	214-670-0556
Fax Number	:	214-670-6897

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. KAREN D. RAYZER
Credential	:
Telephone Number	:	214-670-3696

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	05/20/2008

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