DALLAS INTER-TRIBAL CENTER
Suppliers at Record Crossing Rd, Dallas, TX

License number
Texas PA02052
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
License number
Texas 12584
Category
Suppliers
Type
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Owner
Name: RODNEY STAPP
Title: CEO
Phone: (214) 941-1050
Address
Address
1261 Record Crossing Rd, Dallas, TX 75235
National Provider ID: 1710108923
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DALLAS INTER-TRIBAL CENTER at bizstanding.com

DALLAS INTER-TRIBAL CENTER

209 E Jefferson Blvd, Dallas, TX 75203

Industry:
Medical Doctors Office Dentist's Office Individual/Family Svcs Job Training/Related Svc
Doing business as:
Dallas Inter-Tribal Center<br>Dallas Inter-Tribal Christian Center<br>Texas Urban Inter-Tribal Center<br>Urban Inter-Tribal Center of Texas
Registration:
Nov 5, 1971
Phone:
(214) 941-1050 (Phone)
State ID:
0029796001
Business type:
Domestic Nonprofit Corporation
Directors:
Rodney T. Stapp (CEO),Carlton W. Roach (CFO),Jimmy R. Edmonson (Director),...
Agent:
Gretchen Duffin,209 E Jefferson Blvd, Dallas, TX 75203 (Physical)
TIN:
12371569455

DALLAS INTERTRIBAL CENTER CLINIC INC

209 E Jefferson Blvd %Mike Tydlaczka, Dallas, TX 75203

Status:
Inactive
Doing business as:
Dallas Intertribal Center Clinic, Inc
Registration:
Feb 26, 1976
State ID:
0037607601
Business type:
Domestic Nonprofit Corporation
Agent:
Mike Mahsetky,336 W Jefferson, Dallas, TX 75208 (Physical)
TIN:
30002682786

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