MEDICARE: BAYLOR REGIONAL MEDICAL CENTER AT 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	282N00000X	General Acute Care Hospital	008140	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	284511	OTHER	TX	AMERICAID

General Provider Information

NPI Number	:	1649273434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYLOR REGIONAL MEDICAL CENTER AT PLANO

Provider Business Mailing Address
First Line	:	PO BOX 849829
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-9829
Country	:	US
Telephone Number	:	214-820-6710
Fax Number	:	214-820-7950

Provider Business Practice Location Address
First Line	:	4700 ALLIANCE BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5323
Country	:	US
Telephone Number	:	469-814-2000
Fax Number	:	469-814-2999

Authorized Official
Title or Position	:	CEO
Name	:	JERRI GARISON
Credential	:
Telephone Number	:	469-814-3176

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/22/2020

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Directions to “BAYLOR REGIONAL MEDICAL CENTER AT PLANO ” Practice Location

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