Provider Demographics
NPI:1669687356
Name:SICKLE CELL DISEASE ASSOCIATION OF DALLAS
Entity Type:Organization
Organization Name:SICKLE CELL DISEASE ASSOCIATION OF DALLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTCEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:214-942-1262
Mailing Address - Street 1:320 SR L THORNTON FWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1804
Mailing Address - Country:US
Mailing Address - Phone:214-942-1262
Mailing Address - Fax:214-948-9517
Practice Address - Street 1:320 S R L THORNTON FWY
Practice Address - Street 2:SUITE 110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1804
Practice Address - Country:US
Practice Address - Phone:214-942-1262
Practice Address - Fax:214-948-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1759359251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management