MEDICARE: DALLAS FIRE RESCUE

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	261QC1500X	Community Health Clinic/Center	256388	TX

General Provider Information

NPI Number	:	1114273661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS FIRE RESCUE

Provider Business Mailing Address
First Line	:	5000 DOLPHIN RD
Second Line	:	BLDG. A
City	:	DALLAS
State	:	TX
Zip	:	75223-3112
Country	:	US
Telephone Number	:	214-670-3220
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 DOLPHIN RD
Second Line	:	BLDG. A
City	:	DALLAS
State	:	TX
Zip	:	75223-3112
Country	:	US
Telephone Number	:	214-670-3220
Fax Number	:

Authorized Official
Title or Position	:	COMMUNICABLE DISEASE COORDINATOR
Name	:	MS. MYRTLE ALLISON GREEN
Credential	:	R.N.
Telephone Number	:	469-323-5775

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	08/01/2012

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Directions to “DALLAS FIRE RESCUE ” Practice Location

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