DALLAS VAMC NPI 1629459730

NPI Information

NPI: 1629459730
Provider Name: DALLAS VAMC

Other Name: TYLER 1 VA CLINIC

Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
7916 S BROADWAY AVE STE 100
TYLER, TX
ZIP 75703
Phone: (615) 355-3451
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DALLAS VAMC is a va clinic center in Tyler, TX. DALLAS VAMC NPI is 1629459730. The provider is registered as an organization entity type.
The provider Other Name Is Tyler 1 Va Clinic.

The provider's business location address is:

7916 S BROADWAY AVE STE 100
TYLER, TX
ZIP 75703-275
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 45D1072466 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 8/30/2022.

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
1	261QV0200X	Clinic/Center	VA			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

NPI Synchronization or Removal

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