PROVIDENT MEDICAL CENTER is a clinic center in Dallas, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENT MEDICAL CENTER NPI is 1659446409. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinic.
The provider's business location address is:
831 SR L THORNTON FWY
DALLAS, TX
ZIP 75203-905
Phone: (214) 948-7783
Fax: (214) 948-7793
The provider's authorized official is Ronald Jeffrey Washington .
The authorized official title is Owner Administrator and has the following contact phone number (214) 948-7783.
The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.