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NPI Code Detail

MEDICARE: BAYLOR ALL SAINTS MEDICAL CENTER

MEDICARE: BAYLOR ALL SAINTS MEDICAL CENTER
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
1332B00000XDurable Medical Equipment & Medical Supplies000363TX

General Provider Information

NPI Number : 1831199462
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYLOR ALL SAINTS MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 848108
Second Line :
City : DALLAS
State : TX
Zip : 75284-8108
Country : US
Telephone Number : 214-820-6710
Fax Number : 214-820-7950
Provider Business Practice Location Address
First Line : 1400 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4110
Country : US
Telephone Number : 817-922-1957
Fax Number : 817-927-6226
Authorized Official
Title or Position : CEO
Name : MICHAEL SANBORN
Credential :
Telephone Number : 817-922-1854
Provider Enumeration Date : 07/26/2005
Last Update Date : 01/22/2020

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Directions to “BAYLOR ALL SAINTS MEDICAL CENTER ” Practice Location

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