1265597710 NPI number — TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS

Table of content: (NPI 1265597710)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265597710 NPI number — TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
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:
Provider Other Organization Name Type Code:
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:
1265597710
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/11/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 E BORDER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76010-7445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-345-7260
Provider Business Mailing Address Fax Number:
682-236-4620

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
900 E PARK BLVD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75074-5465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-345-5634
Provider Business Practice Location Address Fax Number:
214-345-7046
Provider Enumeration Date:
12/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CRAFT
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
GROUP FINANCE OFFICER
Authorized Official Telephone Number:
214-345-5634

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  000431 , 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: 080027801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com