1003883158 NPI number — TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON

Table of content: (NPI 1003883158)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003883158 NPI number — TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003883158
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 731467
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75373-1467
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-890-6034
Provider Business Mailing Address Fax Number:
940-898-7099

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 NORTH I 35
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76201-5119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-898-7000
Provider Business Practice Location Address Fax Number:
940-898-7099
Provider Enumeration Date:
03/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALSBERRY
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
CHARLES
Authorized Official Title or Position:
CHIEF REVENUE OFFICER
Authorized Official Telephone Number:
682-236-6485

Provider Taxonomy Codes

  • Taxonomy code: 261QC0050X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 008208 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 020967801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 022535101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".