Provider Demographics
NPI:1043477805
Name:CITY OF DALLAS ENVIRONMENTAL AND HEALTH
Entity Type:Organization
Organization Name:CITY OF DALLAS ENVIRONMENTAL AND HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAYZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-670-3696
Mailing Address - Street 1:300 N EWING AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-2342
Mailing Address - Country:US
Mailing Address - Phone:214-670-0556
Mailing Address - Fax:214-670-6897
Practice Address - Street 1:300 N EWING AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-2342
Practice Address - Country:US
Practice Address - Phone:214-670-0556
Practice Address - Fax:214-670-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPH0038Medicare PIN