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1598188948

NPI Code Detail

MEDICARE: TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN

MEDICARE: TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN

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	2086S0105X	Surgery of the Hand (Surgery) Physician
2	335E00000X	Prosthetic/Orthotic Supplier
3	207X00000X	Orthopaedic Surgery Physician
4	207LP3000X	Pediatric Anesthesiology Physician
5	174400000X	Specialist
6	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
7	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician
8	2080P0006X	Developmental - Behavioral Pediatrics Physician
9	2085P0229X	Pediatric Radiology Physician
10	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician
11	103TC0700X	Clinical Psychologist
12	103TH0004X	Health Psychologist
13	207XS0106X	Orthopaedic Hand Surgery Physician
14	2085R0202X	Diagnostic Radiology Physician
15	207XP3100X	Pediatric Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	453314	OTHER		MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1598188948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN

Provider Business Mailing Address
First Line	:	2222 WELBORN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3924
Country	:	US
Telephone Number	:	214-559-5000
Fax Number	:	214-443-7309

Provider Business Practice Location Address
First Line	:	2222 WELBORN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3924
Country	:	US
Telephone Number	:	214-559-5000
Fax Number	:

Authorized Official
Title or Position	:	MANAGED CARE MANAGER
Name	:	MR. ENRIQUE AGUIRRE
Credential	:
Telephone Number	:	214-559-7731

Provider Enumeration Date	:	01/21/2014
Last Update Date	:	05/27/2026

Similar Medicare Providers

1760628184 — TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN
Practice Location Address:

2222 WELBORN ST
DALLAS, TX
75219-3924

Practice Phone: 214-559-5000
Practice Fax: 214-559-8458

1487585139 — CARMEN BEGNAUD MCBRIDE CPO, LPO
Practice Location Address:

2222 WELBORN ST
DALLAS, TX
75219-3924

Practice Phone: 214-559-5000
Practice Fax:

1194014258 — DR. JAYSSON TREVOR BROOKS M.D.
Practice Location Address:

2222 WELBORN ST
DALLAS, TX
75219-3924

Practice Phone: 214-559-5000
Practice Fax: 214-443-7309

1710982988 — JEAN OLDHAM WALL M.D.
Practice Location Address:

2222 WELBORN ST
DALLAS, TX
75219-3924

Practice Phone: 214-559-5000
Practice Fax: 214-443-7309

1811996663 — DR. ALTHEA KAY JARRETT MD
Practice Location Address:

2222 WELBORN ST
DALLAS, TX
75219-3924

Practice Phone: 214-559-5000
Practice Fax:

1225018120 — DR. AMY LYNN MCINTOSH M.D.
Practice Location Address:

2222 WELBORN ST
DALLAS, TX
75219-3924

Practice Phone: 214-559-5000
Practice Fax: 214-443-7309

Directions to “TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN ” Practice Location

Language	Start Address	Practice Location

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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