Healthcare Provider Details

I. General information

NPI: 1003246919
Provider Name (Legal Business Name): STEPHENS MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S CLARK RD
CEDAR HILL TX
75104-2750
US

IV. Provider business mailing address

5560 TENNYSON PKWY STE 210
PLANO TX
75024-3582
US

V. Phone/Fax

Practice location:
  • Phone: 972-291-7877
  • Fax: 972-293-1273
Mailing address:
  • Phone: 469-916-6100
  • Fax: 469-916-6105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number134812
License Number StateTX

VIII. Authorized Official

Name: CHRIS CURTIS
Title or Position: BUSINESS OFFICE DIRECTOR
Credential:
Phone: 254-559-2241