Healthcare Provider Details

I. General information

NPI: 1306897277
Provider Name (Legal Business Name): COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 S I-35 E
DENTON TX
76210-6850
US

IV. Provider business mailing address

3535 S I-35 E
DENTON TX
76210-6850
US

V. Phone/Fax

Practice location:
  • Phone: 940-384-3535
  • Fax: 940-382-4864
Mailing address:
  • Phone: 940-384-3535
  • Fax: 940-382-4864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ADAM PROCTOR
Title or Position: CFO
Credential:
Phone: 940-384-3206