Active NPI
Dallas VA Medical Center
- Military Hospital
- Dallas, TX
National Provider Identifier
1548400609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 14763
- Legal business name
- DALLAS VA MEDICAL CENTER
- Practice address
- 4500 S Lancaster Rd
Dallas, TX 75216-7167 - Phone
- (214) 742-8387
- NPI assigned
- Mar 3, 2009
- Last updated
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Esther Ruckman
- Title
- Licensed Master Social Worker
- Phone
- (214) 742-8387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 14763 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone (214) 742-8387
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1548400609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-742-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-742-8387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "RUCKMAN",
"authorized_official_first_name": "ESTHER",
"authorized_official_title_or_position": "LICENSED MASTER SOCIAL WORKER",
"authorized_official_telephone_number": "214-742-8387"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "TX",
"license": "14763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.