MEDICARE: DALLAS LTACH, LLC

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	282E00000X	Long Term Care Hospital	100016	TX

General Provider Information

NPI Number	:	1356559991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS LTACH, LLC

Provider Business Mailing Address
First Line	:	8050 MEADOW RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-3406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8050 MEADOW RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-3406
Country	:	US
Telephone Number	:	469-232-6500
Fax Number	:	469-232-6501

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOHNETTA M TRAYLOR
Credential	:
Telephone Number	:	502-596-6063

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	06/02/2026

Similar Medicare Providers

1770556995 — DR. ZAKIR HUSSAIN A SHAIKH MD
Practice Location Address:

8050 MEADOW RD , KINDRED HOSPITAL - INFECTIOUS DISEASES PRACTICE
DALLAS, TX
75231-3406

Practice Phone: 972-947-3200
Practice Fax: 972-947-3201

1205048048 — CHRISTOPHER MICHAEL GALLAGHER MD
Practice Location Address:

8050 MEADOW RD
DALLAS, TX
75231-3406

Practice Phone: 469-232-6500
Practice Fax:

1902072051 — MS. ELIZABETH CAROLYN MOON OTR
Practice Location Address:

8050 MEADOW RD
DALLAS, TX
75231-3406

Practice Phone: 469-232-6500
Practice Fax:

1710153861 — MISS DAPHYNE CAMILLE LYLE PTA
Practice Location Address:

8050 MEADOW RD
DALLAS, TX
75231-3406

Practice Phone: 469-523-2650
Practice Fax:

1801184460 — KND DEVELOPMENT 59 LLC
Practice Location Address:

8050 MEADOW RD
DALLAS, TX
75231-3406

Practice Phone: 706-509-4100
Practice Fax: 502-596-4150

1831697028 — DR. VIJAY KATARI, PLLC
Practice Location Address:

7930 NORTH HAVEN ROAD
DALLAS, TX
75231-3406

Practice Phone: 214-425-0254
Practice Fax:

Directions to “DALLAS LTACH, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.