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NPI Code Detail

MEDICARE: SENIOR MANAGEMENT SERVICES OF DOCTORS AT DALLAS INC

MEDICARE: SENIOR MANAGEMENT SERVICES OF DOCTORS AT DALLAS INC
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
1314000000XSkilled Nursing Facility114128TX

General Provider Information

NPI Number : 1093704710
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR MANAGEMENT SERVICES OF DOCTORS AT DALLAS INC
Provider Business Mailing Address
First Line : 800 W ARBROOK BLVD
Second Line : STE 210
City : ARLINGTON
State : TX
Zip : 76015-4327
Country : US
Telephone Number : 817-468-1991
Fax Number : 817-468-3133
Provider Business Practice Location Address
First Line : 9009 WHITE ROCK TRL
Second Line :
City : DALLAS
State : TX
Zip : 75238-3347
Country : US
Telephone Number : 214-348-8100
Fax Number : 214-343-3865
Authorized Official
Title or Position : PRESIDENT
Name : TROY CLANTON
Credential :
Telephone Number : 817-468-1991
Provider Enumeration Date : 10/14/2005
Last Update Date : 08/22/2020

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Directions to “SENIOR MANAGEMENT SERVICES OF DOCTORS AT DALLAS INC ” Practice Location

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