MEDICARE: CITY OF DALLAS

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	251K00000X	Public Health or Welfare Agency		TX

General Provider Information

NPI Number	:	1174576946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF DALLAS

Provider Business Mailing Address
First Line	:	4500 SPRING AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75210-1350
Country	:	US
Telephone Number	:	214-670-1950
Fax Number	:	214-670-8302

Provider Business Practice Location Address
First Line	:	300 N EWING AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-2342
Country	:	US
Telephone Number	:	214-670-7482
Fax Number	:	214-670-6897

Authorized Official
Title or Position	:	PUBLIC HEALTH MANAGER
Name	:	PAULETTA M JONES
Credential	:
Telephone Number	:	214-670-1950

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/21/2022

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Directions to “CITY OF DALLAS ” Practice Location

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