MEDICARE: TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS

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	363LP0200X	Pediatric Nurse Practitioner	000431	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

General Provider Information

NPI Number	:	1679638126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS

Provider Business Mailing Address
First Line	:	500 E BORDER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-7445
Country	:	US
Telephone Number	:	214-345-7260
Fax Number	:	682-236-4620

Provider Business Practice Location Address
First Line	:	8440 WALNUT HILL LN
Second Line	:	SUITE 540
City	:	DALLAS
State	:	TX
Zip	:	75231-3833
Country	:	US
Telephone Number	:	214-345-5634
Fax Number	:	214-345-7046

Authorized Official
Title or Position	:	GROUP FINANCE OFFICER
Name	:	MR. BRIAN CRAFT
Credential	:
Telephone Number	:	214-346-5634

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	04/23/2026

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Directions to “TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS ” Practice Location

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