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Contact Information

DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
4645 SAMUELL BLVD STE 107
DALLAS, TX75228-6826
 Phone: 214-275-7393
 Fax: 214-381-1480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER

NPI Number 1821185026
LBN Legal business name DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Authorized official MIN SEO CHEON KIM - (CHIEF PHARMACY OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2006
Last updated 12/02/2025 - About 6 months ago
Identifiers
TX License # 6403
Other 2099861 PK
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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