Organization
BAYLOR INSTITUTE FOR REHABILITATION AT GASTON EPISCOPAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL D MCMULLAN (VICE PRESIDENT OF FINANCE)
(214) 820-9505
Entity
Organization
Contact information
Practice address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(214) 820-9300
(214) 820-9295
Mailing address
PO BOX 847093, DALLAS, TX 75284-7093
(214) 820-1538
(214) 820-7950
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
000642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112721902
—
TX
Enumeration date
07/07/2005
Last updated
09/29/2009
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