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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENT MEDICAL CENTER

Active Organization

PROVIDENT MEDICAL CENTER is a Clinic/Center organization located in DALLAS, Texas. NPI 1659446409 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · DALLAS, TX

Registration Details

NPI Number
1659446409
Provider Type
Organization
NPI Issued
Nov 21, 2006 (19.712118647295 yrs)
Last Updated
Sep 6, 2023
License
E1172 (TX)

Practice Information

Address
831 SR L THORNTON FWY
DALLAS, TX, 752032905
Browse TX providers · Browse ZIP 75203
Phone
2149487783
Fax
2149487793
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in DALLAS, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.