DALLAS INTER-TRIBAL CENTER NPI 1710108923

NPI Information

DALLAS INTER-TRIBAL CENTER is a federally qualified health center (fqhc) clinic center in Dallas, TX. DALLAS INTER-TRIBAL CENTER NPI is 1710108923. The provider is registered as an organization entity type.
The provider Is Doing Business As Urban Inter-tribal Center Of Texas.

The provider's business location address is:

1261 RECORD CROSSING RD
DALLAS, TX
ZIP 75235
Phone: (214) 941-1050
Fax: (214) 946-4738

The provider's authorized official is Angela Young .
The authorized official title is Ceo and has the following contact phone number (214) 941-1050.

The CLIA number assigned to this NPI record is 45D0675743 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/10/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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