MEDICARE: LEKETHIA KING CHW

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	172V00000X	Community Health Worker		TX

General Provider Information

NPI Number	:	1558233122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEKETHIA KING CHW

Provider Business Mailing Address
First Line	:	2427 MACON ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-4642
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2427 MACON ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75215-4642
Country	:	US
Telephone Number	:	214-664-8945
Fax Number	:

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

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	10/24/2025

Similar Medicare Providers

1740609163 — VANESSA MICHELLE BATES PHARMD
Practice Location Address:

13619 INWOOD RD STE 380
DALLAS, TX
75244-4642

Practice Phone: 844-800-5377
Practice Fax: 214-782-9155

1326430513 — BRIAN EADES MD PLLC
Practice Location Address:

5628 ENCORE DR
DALLAS, TX
75240-4642

Practice Phone: 214-517-9907
Practice Fax:

1063216281 — TREE OF LIFE BIRTH COUNSELING AND WELLNESS CENTER PLLC
Practice Location Address:

1705 ELSIE FAY HEGGINS ST
DALLAS, TX
75215

Practice Phone: 214-912-2614
Practice Fax:

1790787950 — SENIOR CARE CONSULTANTS, INC
Practice Location Address:

2815 MARTIN LUTHER KING JR BLVD
DALLAS, TX
75215-2320

Practice Phone: 972-303-9000
Practice Fax: 972-303-9992

1841288602 — MARTIN LUTHER KING JR FAMILY CLINIC
Practice Location Address:

2922-B MARTIN LUTHER KING JR BLVD
DALLAS, TX
75215-2471

Practice Phone: 214-426-3645
Practice Fax: 214-426-6813

1376524850 — C F & H CORPORATION
Practice Location Address:

3808 S CENTRAL EXPY
DALLAS, TX
75215-3701

Practice Phone: 214-428-2851
Practice Fax: 214-428-4074

Directions to “ LEKETHIA KING CHW” 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 © 2007-2025 (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.