MEDICARE: BAYLOR SPECIALTY HEALTH CENTERS

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
1	261QA1903X	Ambulatory Surgical Clinic/Center	000710	TX
2	283XC2000X	Children's Rehabilitation Hospital	000710	TX
3	282NC2000X	Children's Hospital	000710	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1053319798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYLOR SPECIALTY HEALTH CENTERS

Provider Business Mailing Address
First Line	:	PO BOX 847137
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7137
Country	:	US
Telephone Number	:	214-820-6710
Fax Number	:	214-820-7950

Provider Business Practice Location Address
First Line	:	3301 SWISS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6224
Country	:	US
Telephone Number	:	214-820-9743
Fax Number	:	214-820-1490

Authorized Official
Title or Position	:	VP, GOVERNMENTAL FINANCE
Name	:	MS. WILLIAM J GALINSKY
Credential	:
Telephone Number	:	254-215-9063

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/13/2015

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Directions to “BAYLOR SPECIALTY HEALTH CENTERS ” Practice Location

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