| NPI | 1548409634 |
|---|---|
| Doing Business As | DALLAS MEDICAL CLINIC AND REHAB |
| Entity Type | Organization |
| Authorized Contact | MARLON D PADILLA CEO 972-563-1636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX K2254) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 558614) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-03-27 |