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NPI Code Detail

MEDICARE: ETHICUS HOSPITAL DFW LLC

MEDICARE: ETHICUS HOSPITAL DFW 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 : 1316505043
Entity Type Code : Organization
Provider Name (Legal Business Name) : ETHICUS HOSPITAL DFW LLC
Provider Business Mailing Address
First Line : 1401 E TRINITY MILLS RD
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-1442
Country : US
Telephone Number : 817-421-1066
Fax Number : 817-507-1800
Provider Business Practice Location Address
First Line : 1401 E TRINITY MILLS RD
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-1442
Country : US
Telephone Number : 469-289-6109
Fax Number : 972-810-0789
Authorized Official
Title or Position : CEO
Name : JORDAN FOWLER
Credential :
Telephone Number : 917-216-6285
Provider Enumeration Date : 05/29/2019
Last Update Date : 01/16/2026

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Directions to “ETHICUS HOSPITAL DFW LLC ” Practice Location

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