Healthcare Provider Details

I. General information

NPI: 1831140698
Provider Name (Legal Business Name): GREEN OAKS HOSPITAL SUBSIDIARY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7808 CLODUS FIELDS DR
DALLAS TX
75251-2206
US

IV. Provider business mailing address

7808 CLODUS FIELDS DR
DALLAS TX
75251-2206
US

V. Phone/Fax

Practice location:
  • Phone: 972-991-9504
  • Fax: 972-991-2417
Mailing address:
  • Phone: 972-991-9504
  • Fax: 972-991-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: DEDE ARNOLD
Title or Position: CFO
Credential:
Phone: 972-701-3656