MARTIN LUTHER KING JR FAMILY CLINIC; NPI #1134366289

Contact Information

MARTIN LUTHER KING JR FAMILY CLINIC

2922 MARTIN LUTHER KING JR BLVD
B
DALLAS, TX 75215-2321

Phone: 214-426-3645
Fax: 214-426-6813
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MARTIN LUTHER KING JR FAMILY CLINIC

NPI Number 1134366289

LBN Legal business name MARTIN LUTHER KING JR FAMILY CLINIC

Authorized official JOYCE TAPLEY - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/12/2009

Last updated 07/02/2012 - About 14 years ago

Identifiers

TX	License #	11893
TX	Medicaid	130713404
	Other	4576229	NCPDP PROVIDER ID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MARTIN LUTHER KING JR FAMILY CLINIC

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for MARTIN LUTHER KING JR FAMILY CLINIC

Reviews for MARTIN LUTHER KING JR FAMILY CLINIC