Provider Demographics
NPI:1114273661
Name:DALLAS FIRE RESCUE
Entity Type:Organization
Organization Name:DALLAS FIRE RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNICABLE DISEASE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MYRTLE
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-323-5775
Mailing Address - Street 1:5000 DOLPHIN RD
Mailing Address - Street 2:BLDG. A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75223-3112
Mailing Address - Country:US
Mailing Address - Phone:214-670-3220
Mailing Address - Fax:
Practice Address - Street 1:5000 DOLPHIN RD
Practice Address - Street 2:BLDG. A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75223-3112
Practice Address - Country:US
Practice Address - Phone:214-670-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX256388261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health