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NPI Code Detail

MEDICARE: TEXAS HEALTH HOSPITAL MANSFIELD

MEDICARE: TEXAS HEALTH HOSPITAL MANSFIELD
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 : 1356960132
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS HEALTH HOSPITAL MANSFIELD
Provider Business Mailing Address
First Line : 2300 LONE STAR RD
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8744
Country : US
Telephone Number : 682-385-7108
Fax Number :
Provider Business Practice Location Address
First Line : 2300 LONE STAR RD
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8744
Country : US
Telephone Number : 682-385-7108
Fax Number :
Authorized Official
Title or Position : CFO
Name : JESSE KLEVEN
Credential :
Telephone Number : 682-341-5011
Provider Enumeration Date : 04/13/2020
Last Update Date : 09/05/2025

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Directions to “TEXAS HEALTH HOSPITAL MANSFIELD ” Practice Location

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