MEDICARE: TEXAS HEALTH ARLINGTON MEMORIAL 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
1	273R00000X	Psychiatric Hospital Unit	000422	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH000	OTHER	TX	BCBS PSYCH INPATIENT
2	000422	OTHER	TX	TDHSS
3	HOHH611301	OTHER	TX	BCBS PHP

General Provider Information

NPI Number	:	1366859597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 910818
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-0818
Country	:	US
Telephone Number	:	800-890-6034
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2504
Country	:	US
Telephone Number	:	817-548-6130
Fax Number	:

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

Provider Enumeration Date	:	07/21/2014
Last Update Date	:	04/10/2026

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