Provider Demographics
NPI:1174576946
Name:CITY OF DALLAS
Entity type:Organization
Organization Name:CITY OF DALLAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-670-1950
Mailing Address - Street 1:4500 SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75210-1350
Mailing Address - Country:US
Mailing Address - Phone:214-670-1950
Mailing Address - Fax:214-670-8302
Practice Address - Street 1:300 N EWING AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-2342
Practice Address - Country:US
Practice Address - Phone:214-670-7482
Practice Address - Fax:214-670-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare