Provider Demographics
NPI:1770682585
Name:DALLAS MEDTEX LP
Entity Type:Organization
Organization Name:DALLAS MEDTEX LP
Other - Org Name:MEDTEX OF DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-631-3139
Mailing Address - Street 1:6363 FOREST PARK RD
Mailing Address - Street 2:SUITE # 810
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-5479
Mailing Address - Country:US
Mailing Address - Phone:214-631-3139
Mailing Address - Fax:214-350-1155
Practice Address - Street 1:6363 FOREST PARK RD
Practice Address - Street 2:SUITE # 810
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5479
Practice Address - Country:US
Practice Address - Phone:214-631-3139
Practice Address - Fax:214-350-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty