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

General Provider Information

NPI Number	:	1316991078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF DALLAS

Provider Business Mailing Address
First Line	:	3312 N BUCKNER BLVD
Second Line	:	SUITE 205
City	:	DALLAS
State	:	TX
Zip	:	75228-5695
Country	:	US
Telephone Number	:	214-243-1527
Fax Number	:	214-243-1520

Provider Business Practice Location Address
First Line	:	3312 N BUCKNER BLVD
Second Line	:	SUITE 205
City	:	DALLAS
State	:	TX
Zip	:	75228-5695
Country	:	US
Telephone Number	:	214-243-1527
Fax Number	:	214-243-1520

Authorized Official
Title or Position	:	PUBLIC HEALTH SUPERVISOR
Name	:	KELLY SPANN
Credential	:
Telephone Number	:	214-243-1531

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	03/14/2026

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Directions to “CITY OF DALLAS ” Practice Location

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