DALLAS VAMC (NPI# 1386129575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386129575 |
| Entity Type | Organization |
| Organization Name | DALLAS VAMC |
| Practice Address |
2737 Sherman St Grand Prairie TX 75051-1027 |
| Mailing Address |
Po Box 94493 Cleveland OH 44101-4493 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | ERIN DENISE 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 |
|---|---|
| GRAND PRAIRIE 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 |
| 1073998431 | Dallas Vamc | Clinic/Center | 4900 S Lancaster Rd, Dallas, TX 75216-7402 | 2015-07-28 |
| 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 |
| 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 |
2737 SHERMAN ST |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841369691 | Reynold J. Dilena | Obstetrics & Gynecology | 2737 Sherman St, Grand Prairie, TX 75051-1027 | 2006-11-07 |
| 1447893102 | Casey Renee Perry-sabti | Social Worker | 2737 Sherman St, Grand Prairie, TX 75051-1027 | 2019-10-24 |
| 1649402652 | Tarrant County Hospital District | Pharmacy | 2737 Sherman St, Grand Prairie, TX 75051-1027 | 2009-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| 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 |
| 1073998431 | Dallas Vamc | Clinic/Center | 4900 S Lancaster Rd, Dallas, TX 75216-7402 | 2015-07-28 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on DALLAS VAMC.
| 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.