Organization
TEXAS HEALTH HUGULEY, INC.
Active
Other names
Texas Health Huguley Hospital Fort Worth South
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY JOHNSON (CHIEF EXECUTIVE OFFICER)
(817) 551-2704
Entity
Organization
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 551-2740
(817) 568-1296
Mailing address
PO BOX 6337, FORT WORTH, TX 76115-0337
(817) 551-2740
(817) 568-1296
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
100157
TX
282N00000X
General Acute Care Hospital
Primary
100157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104123100
FIRST HEALTH
TX
01
—
131205
VALUE BEHAVIORAL HEALTH
TX
01
—
15515001
PACIFICARE
TX
01
—
18147
SCOTT & WHITE HEALTH
TX
01
—
237219332
CHAMPUS/VA/TRICARE
TX
05
—
314080801
—
TX
05
—
314080802
—
TX
01
—
450677
STERLING
TX
01
—
58290
AETNA
TX
01
—
6541690
AETNA
TX
01
—
HH0732
BLUE CROSS BLUE SHIELD
TX
01
—
HH3237
BCBS CD
TX
01
—
HH6510
BCBS PHP
TX
Enumeration date
08/10/2006
Last updated
09/09/2024
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