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NPI Code Detail

MEDICARE: DALLAS COUNTY HOSPITAL DISTRICT

MEDICARE: DALLAS COUNTY HOSPITAL DISTRICT
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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0002XClinic Pharmacy15583TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115583OTHERTXLICENSE
22101539OTHERPK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194856096
Entity Type Code : Organization
Provider Name (Legal Business Name) : DALLAS COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 5200 HARRY HINES BLVD
Second Line : PHARMACY ADMINISTRATION
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8714
Fax Number : 469-419-3023
Provider Business Practice Location Address
First Line : 9202 ELAM RD
Second Line :
City : DALLAS
State : TX
Zip : 75217-4151
Country : US
Telephone Number : 214-266-1666
Fax Number : 214-266-1654
Authorized Official
Title or Position : EXEC VP & CHIEF OPERATING OFFICER
Name : EDMUNDO CASTANEDA
Credential :
Telephone Number : 214-590-8006
Provider Enumeration Date : 03/09/2007
Last Update Date : 01/28/2026

Similar Medicare Providers

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1649264391 — DALLAS COUNTY HOSPITAL DISTRICT
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1841274578 — ADEOLA A. AMUSAN MD
Practice Location Address:
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Practice Fax: 214-266-1790

Directions to “DALLAS COUNTY HOSPITAL DISTRICT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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