Healthcare Provider Details

I. General information

NPI: 1629466909
Provider Name (Legal Business Name): DALLAS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2015
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2416 ELIZABETH LN
SEAGOVILLE TX
75159-2702
US

IV. Provider business mailing address

2537 GOLDEN BEAR DR
CARROLLTON TX
75006-2377
US

V. Phone/Fax

Practice location:
  • Phone: 972-287-2491
  • Fax:
Mailing address:
  • Phone: 972-729-6970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: EDMUNDO CASTANEDA
Title or Position: EXECUTIVE VICE PRESIDENT & COO
Credential:
Phone: 214-590-4582