MEDICARE: FALIN DILLARD

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	171M00000X	Case Manager/Care Coordinator	29334639	TX

General Provider Information

NPI Number	:	1134511066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FALIN DILLARD

Provider Business Mailing Address
First Line	:	745 PECAN DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-4031
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 PECAN DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-4031
Country	:	US
Telephone Number	:	469-714-9403
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	03/02/2015

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Directions to “ FALIN DILLARD ” Practice Location

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