Provider Demographics
NPI:1366939738
Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
Entity type:Organization
Organization Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MCWHORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-6225
Mailing Address - Street 1:8160 WALNUT HILL LANE, FIRST FLOOR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:214-345-2229
Mailing Address - Fax:214-345-4582
Practice Address - Street 1:8160 WALNUT HILL LN STE 1
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4385
Practice Address - Country:US
Practice Address - Phone:214-345-7145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-20
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site