Healthcare Provider Details

I. General information

NPI: 1306775424
Provider Name (Legal Business Name): BAYLOR SCOTT & WHITE MEDICAL CENTERS - GREATER NORTH TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

7600 BETTER WAY
FRISCO TX
75033-3797
US

IV. Provider business mailing address

PO BOX 847051
DALLAS TX
75284-7051
US

V. Phone/Fax

Practice location:
  • Phone: 945-339-1000
  • Fax:
Mailing address:
  • Phone: 800-994-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JACOB RYAN GEBHART
Title or Position: PRESIDENT
Credential:
Phone: 469-764-9135