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NPI Code Detail

MEDICARE: TEXAS HEART HOSPITAL OF THE SOUTHWEST LLC

MEDICARE: TEXAS HEART HOSPITAL OF THE SOUTHWEST 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 Hospital007844TX

General Provider Information

NPI Number : 1609855139
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS HEART HOSPITAL OF THE SOUTHWEST LLC
Provider Business Mailing Address
First Line : PO BOX 848076
Second Line :
City : DALLAS
State : TX
Zip : 75284-8076
Country : US
Telephone Number : 214-820-6710
Fax Number : 214-820-7950
Provider Business Practice Location Address
First Line : 621 N HALL ST
Second Line :
City : DALLAS
State : TX
Zip : 75226-1339
Country : US
Telephone Number : 214-820-0670
Fax Number : 214-820-0690
Authorized Official
Title or Position : CEO
Name : MARK VALENTINE
Credential :
Telephone Number : 469-814-3503
Provider Enumeration Date : 01/12/2006
Last Update Date : 10/03/2025

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Directions to “TEXAS HEART HOSPITAL OF THE SOUTHWEST LLC ” Practice Location

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