Provider Demographics
NPI:1245574656
Name:VETERANS AFFAIRS NORTH TEXAS HEALTH CARE SYSTEM
Entity Type:Organization
Organization Name:VETERANS AFFAIRS NORTH TEXAS HEALTH CARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:214-467-1826
Mailing Address - Street 1:4901 WALTON HEATH DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5124
Mailing Address - Country:US
Mailing Address - Phone:213-395-7529
Mailing Address - Fax:214-467-1898
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-467-1826
Practice Address - Fax:214-467-1898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147312865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital