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NPI Code Detail

MEDICARE: ADVANCED DALLAS HOSPITAL & CLINICS LLC

MEDICARE: ADVANCED DALLAS HOSPITAL & CLINICS 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
1261QA1903XAmbulatory Surgical Clinic/Center
2282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1235711748
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED DALLAS HOSPITAL & CLINICS LLC
Provider Business Mailing Address
First Line : 1911 BAGBY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8594
Country : US
Telephone Number : 713-383-7147
Fax Number : 713-383-1302
Provider Business Practice Location Address
First Line : 7502 GREENVILLE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75231-3802
Country : US
Telephone Number : 713-790-1666
Fax Number : 713-383-4446
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : RICK ALLEN ZACHARDY
Credential :
Telephone Number : 713-848-4700
Provider Enumeration Date : 04/23/2021
Last Update Date : 12/02/2025

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Directions to “ADVANCED DALLAS HOSPITAL & CLINICS LLC ” Practice Location

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