MEDICARE: DALLAS METROCARE SERVICES

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	251J00000X	Nursing Care Agency	522125	TX

General Provider Information

NPI Number	:	1073538914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS METROCARE SERVICES

Provider Business Mailing Address
First Line	:	1353 N WESTMORELAND RD BLDG B
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1655
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 N WESTMORELAND RD BLDG B
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-1655
Country	:	US
Telephone Number	:	214-331-0107
Fax Number	:

Authorized Official
Title or Position	:	ADVANCED PRACTICE NURSE
Name	:	THOMAS W LANGHAM JR
Credential	:	RN APN
Telephone Number	:	214-331-0107

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/22/2020

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Directions to “DALLAS METROCARE SERVICES ” Practice Location

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