# GREATER DALLAS HEALTHCARE ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255542122
- **Authorized official:** MR. ROBERT BRANSTETTER (SR DIR, ADMINISTR 501A, TENET)
- **Authorized official phone:** (469) 893-2000

## Contact information

- **Practice address:** 1445 ROSS AVE STE 1400, DALLAS, TX 75202-2703
- **Practice address phone:** (469) 893-6465
- **Mailing address:** PO BOX 840711, DALLAS, TX 75284-0711
- **Mailing address phone:** (972) 463-4313
- **Mailing address fax:** (972) 463-4245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 07/21/2022