Provider Demographics
NPI:1144180977
Name:DCS MEDICAL PA
Entity type:Organization
Organization Name:DCS MEDICAL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FOY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DARK
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:972-829-6615
Mailing Address - Street 1:PO BOX 95559
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76099-9707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1915 FM 1488
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445
Practice Address - Country:US
Practice Address - Phone:972-829-6615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health