Healthcare Provider Details

I. General information

NPI: 1033153762
Provider Name (Legal Business Name): DECATUR HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 BRYANT IRVIN RD
FORT WORTH TX
76132-4209
US

IV. Provider business mailing address

5801 BRYANT IRVIN RD
FORT WORTH TX
76132-4209
US

V. Phone/Fax

Practice location:
  • Phone: 817-346-3030
  • Fax: 817-346-1201
Mailing address:
  • Phone: 817-346-3030
  • Fax: 817-346-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number143861
License Number StateTX

VIII. Authorized Official

Name: BRIAN TODD SCROGGINS
Title or Position: CEO
Credential:
Phone: 940-900-4348