Provider Demographics
NPI:1700085198
Name:NORTH DALLAS DHS REHABILITATION, P.A.
Entity Type:Organization
Organization Name:NORTH DALLAS DHS REHABILITATION, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNWOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-243-1733
Mailing Address - Street 1:7750 N MACARTHUR BLVD
Mailing Address - Street 2:120-348
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7514
Mailing Address - Country:US
Mailing Address - Phone:972-243-1733
Mailing Address - Fax:972-243-1763
Practice Address - Street 1:6750 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2420
Practice Address - Country:US
Practice Address - Phone:972-243-1733
Practice Address - Fax:972-243-1763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3093174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty