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NPI Code Detail

MEDICARE: DILLARD'S, INC.

MEDICARE: DILLARD'S, 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1154565463
Entity Type Code : Organization
Provider Name (Legal Business Name) : DILLARD'S, INC.
Provider Business Mailing Address
First Line : 1600 CANTRELL RD
Second Line : LEGAL DEPT
City : LITTLE ROCK
State : AR
Zip : 72201
Country : US
Telephone Number : 501-376-5894
Fax Number : 501-210-9610
Provider Business Practice Location Address
First Line : 1201 LAKE WOODLANDS DR.
Second Line : SUITE 400
City : THE WOODLANDS
State : TX
Zip : 77380-5000
Country : US
Telephone Number : 281-363-9300
Fax Number :
Authorized Official
Title or Position : GENERAL COUNSEL
Name : DEAN WORLEY
Credential :
Telephone Number : 501-376-5420
Provider Enumeration Date : 04/30/2009
Last Update Date : 12/12/2012

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Directions to “DILLARD'S, INC. ” Practice Location

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