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NPI Code Detail

MEDICARE: BAYLOR INSTITUTE FOR REHABILITATION AT GASTON EPISCOPAL HOSPITAL

MEDICARE: BAYLOR INSTITUTE FOR REHABILITATION AT GASTON EPISCOPAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation Hospital000642TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003813742
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYLOR INSTITUTE FOR REHABILITATION AT GASTON EPISCOPAL HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 847093
Second Line :
City : DALLAS
State : TX
Zip : 75284-7093
Country : US
Telephone Number : 214-820-1538
Fax Number : 214-820-7950
Provider Business Practice Location Address
First Line : 909 N WASHINGTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-1520
Country : US
Telephone Number : 214-820-9300
Fax Number : 214-820-9295
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : MS. CHERYL D MCMULLAN
Credential :
Telephone Number : 214-820-9505
Provider Enumeration Date : 07/07/2005
Last Update Date : 09/29/2009

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Directions to “BAYLOR INSTITUTE FOR REHABILITATION AT GASTON EPISCOPAL HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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