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DALLAS VA MEDICAL CENTER NPI 1447354980


NPI Information

NPI: 1447354980
Provider Name: DALLAS VA MEDICAL CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4500 S LANCASTER RD
DALLAS, TX
ZIP 75216
Phone: (323) 327-7618
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DALLAS VA MEDICAL CENTER is an addiction (substance use disorder) counselor in Dallas, TX. DALLAS VA MEDICAL CENTER NPI is 1447354980. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4500 S LANCASTER RD
DALLAS, TX
ZIP 75216-167
Phone: (323) 327-7618

The provider's authorized official is Kabaka Wamukuta Pokossa .
The authorized official title is Addiction Therapist and has the following contact phone number (214) 857-0837.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.