Provider Demographics
NPI:1235998931
Name:DIALCARE GROUP, PLLC
Entity Type:Organization
Organization Name:DIALCARE GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGULATORY SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-441-0380
Mailing Address - Street 1:7400 GAYLORD PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9463
Mailing Address - Country:US
Mailing Address - Phone:800-441-0380
Mailing Address - Fax:
Practice Address - Street 1:7400 GAYLORD PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9463
Practice Address - Country:US
Practice Address - Phone:800-441-0380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center