# ETHICUS HOSPITAL DFW LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ETHICUS HOSPITAL DFW, LLC
- **Other names:** Legent Orthopedic Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316505043
- **Legal business name:** ETHICUS HOSPITAL DFW, LLC
- **Authorized official:** JORDAN FOWLER (CEO)
- **Authorized official phone:** (917) 216-6285

## Contact information

- **Practice address:** 1401 E TRINITY MILLS RD, CARROLLTON, TX 75006-1442
- **Practice address phone:** (469) 289-6109
- **Practice address fax:** (972) 810-0789
- **Mailing address:** 1401 E TRINITY MILLS RD, CARROLLTON, TX 75006-1442
- **Mailing address phone:** (817) 421-1066
- **Mailing address fax:** (817) 507-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 06/30/2026
