Healthcare Provider Details

I. General information

NPI: 1790801140
Provider Name (Legal Business Name): HARRIS METHODIST HEB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HOSPITAL PKWY
BEDFORD TX
76022-6913
US

IV. Provider business mailing address

PO BOX 916060
FORT WORTH TX
76191-6060
US

V. Phone/Fax

Practice location:
  • Phone: 817-685-4011
  • Fax: 817-685-4469
Mailing address:
  • Phone: 817-570-8556
  • Fax: 817-570-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number000182
License Number StateTX

VIII. Authorized Official

Name: MRS. SHELLY MILAND
Title or Position: CFO, FINANCE
Credential:
Phone: 817-685-4011