Healthcare Provider Details

I. General information

NPI: 1548291883
Provider Name (Legal Business Name): TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 CENTRAL EXPRESSEWAY N.
ALLEN TX
75013-5465
US

IV. Provider business mailing address

PO BOX 910175
DALLAS TX
75391-0818
US

V. Phone/Fax

Practice location:
  • Phone: 972-747-6197
  • Fax: 214-345-4187
Mailing address:
  • Phone: 800-890-6034
  • Fax: 682-236-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number007242
License Number StateTX

VIII. Authorized Official

Name: JEFF MINCHER
Title or Position: SENIOR VP REVENUE CYCLE
Credential:
Phone: 682-236-3013