Provider Demographics
NPI:1174767503
Name:NEWHOPE OF DALLAS, LLC
Entity type:Organization
Organization Name:NEWHOPE OF DALLAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-246-0722
Mailing Address - Street 1:3716 STANDRIDGE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056
Mailing Address - Country:US
Mailing Address - Phone:866-397-6020
Mailing Address - Fax:866-397-6027
Practice Address - Street 1:3716 STANDRIDGE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056
Practice Address - Country:US
Practice Address - Phone:866-397-6020
Practice Address - Fax:866-397-6027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEWHOPE BARIATRICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-29
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical