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NPI Code Detail

MEDICARE: DALLAS COUNTY HOSPITAL DISTRICT

MEDICARE: DALLAS COUNTY HOSPITAL DISTRICT
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy4633300008TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14596512OTHERTXNCPDP

General Provider Information

NPI Number : 1336133073
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7708
Country : US
Telephone Number : 469-419-1976
Fax Number : 469-419-6210
Provider Business Practice Location Address
First Line : 1400 N WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-1656
Country : US
Telephone Number : 469-419-1976
Fax Number :
Authorized Official
Title or Position : EXEC VP & CHIEF OPERATING OFFICER
Name : EDMUNDO CASTANEDA
Credential :
Telephone Number : 214-590-8006
Provider Enumeration Date : 09/08/2005
Last Update Date : 06/03/2024

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Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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