Whalio Doctors

NPI 1467696781

Faith Residential House INC #1

Organisation Exclusive Provider Organization Dallas, TX

Practice location

Address
6840 Brierfield Cir, Dallas, TX 75232
Phone
(214) 374-4311
Fax
(214) 374-4311
Mailing address
6840 Brierfield Cir, Dallas, TX 75232-3618

Authorised official

Name
Gladis Bailey
Title
Founder/Ceo
Phone
(214) 374-4311

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence 06155420 (TX)

Registry record

NPI
1467696781
Entity type
Organization
NPI issued
30 Apr 2009
Record last updated
30 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.