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NPI Code Detail

MEDICARE: TENET HEALTHSYSTEM HOSPITALS DALLAS, INC.

MEDICARE: TENET HEALTHSYSTEM HOSPITALS DALLAS, INC.
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
1282N00000XGeneral Acute Care Hospital000449TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
174897OTHERCOVENTRY HEALTH CARE GEOR
2000433OTHERHUMANA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4104665OTHERCOVENTRY HEALTH CARE LA
5450379B000000OTHERSECTION 1011
6HH0572OTHERBCBS OF TEXAS

General Provider Information

NPI Number : 1689606220
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENET HEALTHSYSTEM HOSPITALS DALLAS, INC.
Provider Business Mailing Address
First Line : PO BOX 849975
Second Line :
City : DALLAS
State : TX
Zip : 75284-9975
Country : US
Telephone Number : 214-387-6444
Fax Number : 972-888-7090
Provider Business Practice Location Address
First Line : 7 MEDICAL PKWY
Second Line :
City : DALLAS
State : TX
Zip : 75234-7823
Country : US
Telephone Number : 972-247-1000
Fax Number :
Authorized Official
Title or Position : VP OF TAXATION, TENET HEALTHCARE
Name : MR. DOUGLAS E. RABE
Credential :
Telephone Number : 469-893-2530
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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