Provider Demographics
NPI:1316991078
Name:CITY OF DALLAS
Entity type:Organization
Organization Name:CITY OF DALLAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-243-1531
Mailing Address - Street 1:3312 N BUCKNER BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5695
Mailing Address - Country:US
Mailing Address - Phone:214-243-1527
Mailing Address - Fax:214-243-1520
Practice Address - Street 1:3312 N BUCKNER BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-5695
Practice Address - Country:US
Practice Address - Phone:214-243-1527
Practice Address - Fax:214-243-1520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare