Dallas Mental Health Clinic

LBN: Dallas County Mental Health & Mental Retardation Center
Dallas Mental Health Clinic is an health care organization with primary practice located at 4645 Samuell Blvd Ste 107 , Dallas TX 75228-6826. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Dallas County Mental Health & Mental Retardation Center can be contacted via phone (214) 275-7393, or through Edery, Mark via phone (214) 743-6180.

Contact Information

Primary practice address
4645 Samuell Blvd Ste 107 Dallas TX 75228-6826
Phone: (214) 275-7393
Fax: (214) 381-1480
Website:
Map and Directions
Authorized official contact:
Name: Edery, Mark
Phone: (214) 743-6180

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 6403 Texas

Profile Details

NPI number 1821185026
LBN Legal business name Dallas County Mental Health & Mental Retardation Center
DBA Doing business as Dallas Mental Health Clinic
Authorized official Edery, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Feb 22nd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821185026 NPPES
Other 2099861 PK

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