Organization Name: | NEWHOPE OF DALLAS, LLC |
NPI Number: | 1174767503 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS KELLY (CEO) |
Mailing Address: | 3716 Standridge Drive Suite 100 The Colony |
State: | TX US |
Postal Code: | 75056 |
Phone Number: | 8663976020 |
Fax Number: | 8663976027 |
NPI Enumeration Date: | 04/29/2009 |
NPI Last Update Date: | 08/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |