Healthcare Provider Details

I. General information

NPI: 1760628184
Provider Name (Legal Business Name): TEXAS SCOTTISH RITE HOSPITAL FOR CRIPPLED CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 WELBORN ST
DALLAS TX
75219-3924
US

IV. Provider business mailing address

2222 WELBORN ST
DALLAS TX
75219-3924
US

V. Phone/Fax

Practice location:
  • Phone: 214-559-5000
  • Fax: 214-559-8458
Mailing address:
  • Phone: 214-559-5000
  • Fax: 214-559-8458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number54
License Number StateTX

VIII. Authorized Official

Name: MR. LORI DALTON
Title or Position: VICE PRESIDENT AND GENERAL COUNSEL
Credential:
Phone: 214-559-7641