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Search › Texas › 172V00000X

Dale Park, CERTPS

NPI 1871751404 · on the registry since 2008

Practice

Address
1545 W Mockingbird Ln
Suite 3005
Dallas, TX 75235
Phone
(214) 819-9911
Fax
(214) 819-9944
Organisation at this address
Life Line Supply Co
Texas Mental Health Consumers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
172V00000X
172V00000X
Sex
Male
Record last updated
2008-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas