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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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0002XClinic Pharmacy14688TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114688OTHERTXLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32098699OTHERPK

General Provider Information

NPI Number : 1801965991
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 : PHARMACY ADMINISTRATION
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8714
Fax Number : 469-419-3023
Provider Business Practice Location Address
First Line : 5151 MAPLE AVE # 1-1676
Second Line :
City : DALLAS
State : TX
Zip : 75235-8136
Country : US
Telephone Number : 142-590-6323
Fax Number : 142-590-6160
Authorized Official
Title or Position : EVP & COO
Name : EDMUNDO CASTANEDA
Credential :
Telephone Number : 214-590-8006
Provider Enumeration Date : 11/06/2006
Last Update Date : 01/28/2026

Similar Medicare Providers

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1760480602 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:
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75235-8136
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Practice Fax:
1982698569 — DALLAS COUNTY HOSPITAL DISTRICT
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75235-8136
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1093754475 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:
5151 MAPLE AVE # 6B
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75235-8136
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Practice Fax: 214-266-0113

Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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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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