MARTIN LUTHER KING JR FAMILY CLINIC
2922 Martin Luther King Jr Blvd B
Dallas, TX 75215
214-426-3645
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | TX | 11893 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
130713404 | TX | MEDICAID | |
NCPDP PROVIDER ID | 4576229 | OTHER |