MEDICARE: FLOWER MOUND HOSPITAL PARTNERS, 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
1	261QC0050X	Critical Access Hospital Clinic/Center
2	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	100056	OTHER	TX	DSHS

General Provider Information

NPI Number	:	1902047376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOWER MOUND HOSPITAL PARTNERS, LLC

Provider Business Mailing Address
First Line	:	4400 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1892
Country	:	US
Telephone Number	:	469-322-7089
Fax Number	:	469-464-3771

Provider Business Practice Location Address
First Line	:	4400 LONG PRAIRIE ROAD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1752
Country	:	US
Telephone Number	:	972-419-6704
Fax Number	:	972-419-8118

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN KLITSCH
Credential	:
Telephone Number	:	469-322-7082

Provider Enumeration Date	:	03/16/2009
Last Update Date	:	03/09/2026

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