Provider Demographics
NPI:1548376379
Name:VA NORTH TEXAS HEALTH CARE SYSTEM
Entity type:Organization
Organization Name:VA NORTH TEXAS HEALTH CARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:ADIL
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-857-1818
Mailing Address - Street 1:4500 S. LANCASTER RD
Mailing Address - Street 2:DALLAS VA MEDICAL CENTER, APMS(112A)
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216
Mailing Address - Country:US
Mailing Address - Phone:214-857-1818
Mailing Address - Fax:214-857-1867
Practice Address - Street 1:4500 S. LANCASTER RD
Practice Address - Street 2:DALLAS VA MEDICAL CENTER, APMS(112A)
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216
Practice Address - Country:US
Practice Address - Phone:214-857-1818
Practice Address - Fax:214-857-1867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156738284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital