MEDICARE: COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP

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	273Y00000X	Rehabilitation Hospital Unit

General Provider Information

NPI Number	:	1487606596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP

Provider Business Mailing Address
First Line	:	7777 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2505
Country	:	US
Telephone Number	:	972-566-7000
Fax Number	:	972-566-6248

Provider Business Practice Location Address
First Line	:	7777 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2505
Country	:	US
Telephone Number	:	972-566-7000
Fax Number	:	972-566-6248

Authorized Official
Title or Position	:	CFO
Name	:	SUSAN SHREEVE
Credential	:
Telephone Number	:	972-566-6225

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	11/07/2025

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