| Dallas Va Medical Center | |
|
4500 S Lancaster Rd Dallas TX 75216-7167 | |
| (323) 327-7618 | |
| Not Available |
| Full Name | Dallas Va Medical Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4500 S Lancaster Rd, Dallas, Texas |
| Authorized Official Name and Position | Kabaka Wamukuta Pokossa (ADDICTION THERAPIST) |
| Authorized Official Contact | 2148570837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Va Medical Center 4500 S Lancaster Rd Dallas TX 75216-7167 Ph: (323) 327-7618 | Dallas Va Medical Center 4500 S Lancaster Rd Dallas TX 75216-7167 Ph: (323) 327-7618 |
| NPI Number | 1447354980 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447354980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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