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Subtenant 3611 Dickason Avenue, LLC

Skilled Nursing Facility in Dallas, TX · enumerated 2007 · authorized official Raymond Oborn, Regional Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689868861

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Registry record

Entity type Organization (Type 2)
Legal business name Subtenant 3611 Dickason Avenue, LLC
Practice address 3611 Dickason Avenue, Dallas, TX, 75219
Phone (214) 559-0140
Fax (214) 559-0171
Enumeration date Aug 30, 2007
Last updated in NPPES Oct 10, 2011

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 130513 (TX) Primary

Authorized official

Name Raymond Oborn
Title Regional Vp of Operations
Phone (949) 240-7200

Other identifiers

Identifier Type State Issuer
001019490 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Subtenant 3611 Dickason Avenue, LLC?
NPPES lists Raymond Oborn (Regional Vp of Operations) as the authorized official for this organization.
What is the NPI number for Subtenant 3611 Dickason Avenue, LLC?
The NPI for Subtenant 3611 Dickason Avenue, LLC is 1689868861, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-10.