# METHODIST HOSPITALS OF DALLAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Methodist Southlake Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568818417
- **Authorized official:** CRAIG ALLEN BJERKE (EVP FINANCE, CFO)
- **Authorized official phone:** (214) 947-4512

## Contact information

- **Practice address:** 421 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-3635
- **Practice address phone:** (817) 865-4400
- **Practice address fax:** (817) 865-4840
- **Mailing address:** PO BOX 911875, DALLAS, TX 75391-1875
- **Mailing address phone:** (817) 865-4500
- **Mailing address fax:** (817) 865-4850

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 04/29/2026