Provider Demographics
NPI:1861683146
Name:CHILDRENS MEDICAL CENTER OF DALLAS
Entity Type:Organization
Organization Name:CHILDRENS MEDICAL CENTER OF DALLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC GASTROENTEROLOGY FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:JACQUELINE
Authorized Official - Last Name:ALKALAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-456-8000
Mailing Address - Street 1:1935 MOTOR ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7701
Mailing Address - Country:US
Mailing Address - Phone:214-456-8000
Mailing Address - Fax:
Practice Address - Street 1:1935 MOTOR ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren