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NPI Code Detail

MEDICARE: MILLWOOD HOSPITAL LP

MEDICARE: MILLWOOD HOSPITAL 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
1207P00000XEmergency Medicine PhysicianTX
2207Q00000XFamily Medicine PhysicianTX

General Provider Information

NPI Number : 1639454713
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLWOOD HOSPITAL LP
Provider Business Mailing Address
First Line : 1011 N COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5517
Country : US
Telephone Number : 817-404-2220
Fax Number : 817-261-7574
Provider Business Practice Location Address
First Line : 1011 N COOPER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5517
Country : US
Telephone Number : 817-404-2220
Fax Number : 817-261-7574
Authorized Official
Title or Position : CFO
Name : JEFF EPPERSON
Credential :
Telephone Number : 800-968-6866
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/24/2011

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Directions to “MILLWOOD HOSPITAL LP ” Practice Location

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