MEDICARE: THHBP MANAGEMENT COMPANY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	100208	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194753590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THHBP MANAGEMENT COMPANY LLC

Provider Business Mailing Address
First Line	:	PO BOX 844750
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4750
Country	:	US
Telephone Number	:	214-820-6710
Fax Number	:	214-820-7950

Provider Business Practice Location Address
First Line	:	2801 S MAYHILL RD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-5910
Country	:	US
Telephone Number	:	940-220-0600
Fax Number	:	940-220-0605

Authorized Official
Title or Position	:	CEO
Name	:	MARK ALLEN VALENTINE
Credential	:
Telephone Number	:	469-814-3511

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	01/22/2020

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Directions to “THHBP MANAGEMENT COMPANY LLC ” Practice Location

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