Healthcare Provider Details

I. General information

NPI: 1871566018
Provider Name (Legal Business Name): UHS OF TIMBERLAWN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 08/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 SAMUELL BLVD
DALLAS TX
75228-6827
US

IV. Provider business mailing address

4600 SAMUELL BLVD
DALLAS TX
75228-6827
US

V. Phone/Fax

Practice location:
  • Phone: 214-381-7181
  • Fax:
Mailing address:
  • Phone: 214-381-7181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number752
License Number StateTX

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO/ SR VP
Credential:
Phone: 610-768-3300