DALLAS VAMC NPI 1568417087

NPI Information

  • NPI: 1568417087
  • Provider Name: DALLAS VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Other Name: DECATUR VA CLINIC
  • CLIA Number: 45D2219673
  • Address: 408 PARK WEST CT
    DECATUR, TX
    ZIP 76234
  • Phone: (615) 355-3451

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NPI Details

DALLAS VAMC is a va clinic center in Decatur, TX. DALLAS VAMC NPI is 1568417087. The provider is registered as an organization entity type.
The provider Other Name Is Decatur Va Clinic.

The provider's business location address is:

408 PARK WEST CT
DECATUR, TX
ZIP 76234-263
Phone: (615) 355-3451

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The CLIA number assigned to this NPI record is 45D2219673 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/25/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QV0200XClinic/CenterVAYes

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: 11/21/2025

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