Baylor Community Care- Citysquare
Clinic/Center, Primary Care in Dallas, TX. Organization (NPI-2).
NPI number1669719282
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1669719282
- Entity type
- Organization (NPI-2)
- Legal business name
- Baylor Community Care- Citysquare
- Organization subpart
- No
- Enumeration date
- Jan 16, 2013
- Last updated
- Jan 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 07675 | TX | Yes |
Practice location
2835 Grand AveDallas, TX 75215-1647
Phone 214-421-1783 · Fax 214-421-8224
Mailing address
2835 Grand AveDallas, TX 75215-1647
Phone 214-421-1783 · Fax 214-421-8224
Authorized official
Leigh Allen
Practice Administrator
2144211783
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