Provider Demographics
NPI:1871612101
Name:DALLAS MEDHEALTH INC
Entity type:Organization
Organization Name:DALLAS MEDHEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:INESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGULIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-437-9772
Mailing Address - Street 1:970 N COIT RD
Mailing Address - Street 2:#2403A
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5416
Mailing Address - Country:US
Mailing Address - Phone:972-437-9772
Mailing Address - Fax:972-437-9760
Practice Address - Street 1:970 N COIT RD
Practice Address - Street 2:#2403A
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5416
Practice Address - Country:US
Practice Address - Phone:972-437-9772
Practice Address - Fax:972-437-9760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00663YMedicare ID - Type Unspecified