DALLAS VAMC (NPI# 1073998431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073998431 |
| Entity Type | Organization |
| Organization Name | DALLAS VAMC |
| Other Organization Name | DALLAS 1 VA CLINIC |
| Practice Address |
4900 S Lancaster Rd Dallas TX 75216-7402 |
| Mailing Address |
Po Box 94493 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DALLAS 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508313149 | Dallas Vamc | Clinic/Center | 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 | 2016-09-01 |
| 1649645672 | Dallas Vamc | Clinic/Center | 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 | 2015-12-02 |
| 1629459730 | Dallas Vamc | Clinic/Center | 7916 S Broadway Avenue, Suite 100, Tyler, TX 75703-5275 | 2015-06-15 |
| 1679731525 | Dallas Vamc | Clinic/Center | 1715 Texoma Pkwy, Sherman, TX 75090-2613 | 2008-05-28 |
| 1811942121 | Dallas Vamc | Clinic/Center | 4006 Wellington St, Greenville, TX 75401-7828 | 2006-05-24 |
| 1972558450 | Dallas Vamc | Clinic/Center | 1210 Paluxy Medical Cir, Granbury, TX 76048-5696 | 2006-05-23 |
| 1932729803 | Dallas Vamc | General Acute Care Hospital | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2020-04-21 |
| 1386129575 | Dallas Vamc | Clinic/Center | 2737 Sherman St, Grand Prairie, TX 75051-1027 | 2018-10-03 |
| 1144695305 | Dallas Vamc | Clinic/Center | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2015-12-14 |
| 1215344254 | Dallas Vamc | Clinic/Center | 4243 S Polk St, Dallas, TX 75224-4928 | 2014-07-22 |
| Street Address |
4900 S LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144695305 | Dallas Vamc | Clinic/Center | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2015-12-14 |
| 1215344254 | Dallas Vamc | Clinic/Center | 4243 S Polk St, Dallas, TX 75224-4928 | 2014-07-22 |
| 1619989936 | Veterans Administration | Clinic/Center | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241711 | Houston Vamc | Clinic/Center | 1327 Lake Pointe Pkwy Ste 520, Sugar Land, TX 77478-4096 | 2020-09-29 |
| 1720605629 | El Paso Vamc | Clinic/Center | 5229 Sanders Ave, El Paso, TX 79924-6409 | 2020-06-26 |
| 1427671627 | San Antonio Vamc | Clinic/Center | 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 | 2020-05-21 |
| 1568097491 | El Paso Vamc | Clinic/Center | 1870 Northwestern Drive, El Paso, TX 79912-9998 | 2020-03-11 |
| 1902444607 | El Paso Vamc | Clinic/Center | 350 Revere Street, El Paso, TX 79905-9998 | 2019-12-13 |
| 1982178190 | El Paso Vamc | Clinic/Center | 1250b E Cliff Dr, El Paso, TX 79902-4823 | 2019-01-22 |
| 1508313149 | Dallas Vamc | Clinic/Center | 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 | 2016-09-01 |
| 1194180406 | San Antonio Vamc | Clinic/Center | 526 E Court St, Seguin, TX 78155-5712 | 2015-12-31 |
| 1649645672 | Dallas Vamc | Clinic/Center | 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 | 2015-12-02 |
| 1629459730 | Dallas Vamc | Clinic/Center | 7916 S Broadway Avenue, Suite 100, Tyler, TX 75703-5275 | 2015-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.