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General NPI Number Information
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NPI Number | 1215296884
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 10864 TEXAS HEALTH TRL
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City | FORT WORTH
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State | TX
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Zip | 76244-4897
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Country | US
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Telephone | 682-212-2000
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Fax | 817-693-2510
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Provider Business Mailing Address
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Address Line | PO BOX 731778
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City | DALLAS
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State | TX
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Zip | 75373-1778
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Country | US
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Telephone | 800-890-6034
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Fax |
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Authorized Official
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Title or Position | SENIOR VP REVENUE CYCLE
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Name | MR. JEFF MINCHER
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Credential |
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Telephone | 682-236-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 100162
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 100162
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License Number State | TX
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