MEDICARE: TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO

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	273R00000X	Psychiatric Hospital Unit	000720	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
2	343909	OTHER	TX	VALUE OPTIONS
3	HH6569	OTHER	TX	BC FULL DAY
4	HH0865	OTHER	TX	BC INPATIENT
5	6546680	OTHER	TX	AETNA
6	HH3865	OTHER	TX	BC INPATIENT CHEM DEP

General Provider Information

NPI Number	:	1093930083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO

Provider Business Mailing Address
First Line	:	PO BOX 910156
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-0156
Country	:	US
Telephone Number	:	800-890-6034
Fax Number	:	682-236-0103

Provider Business Practice Location Address
First Line	:	6110 W PARKER RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7939
Country	:	US
Telephone Number	:	972-981-8301
Fax Number	:	972-981-8558

Authorized Official
Title or Position	:	SENIOR VP REVENUE CYCLE
Name	:	JEFF MINCHER
Credential	:
Telephone Number	:	682-236-3013

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	04/22/2026

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Directions to “TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO ” Practice Location

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