Provider Demographics
NPI:1134408628
Name:DTS HEALTHCARE INC
Entity type:Organization
Organization Name:DTS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TONYE
Authorized Official - Middle Name:
Authorized Official - Last Name:IHUA-MADUENYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-694-3074
Mailing Address - Street 1:9001 MARKVILLE DR
Mailing Address - Street 2:1010
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:214-694-3074
Mailing Address - Fax:214-647-1207
Practice Address - Street 1:9001 MARKVILLE DR
Practice Address - Street 2:1010
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-694-3074
Practice Address - Fax:214-647-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities