Organization
BAYLOR ALL SAINTS MEDICAL CENTER
Active
Other names
Baylor Scott & White All Saints Medical Center - Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILLIAMS (CEO)
(817) 927-6224
Entity
Organization
Contact information
Practice address
1400 8TH AVENUE, FORT WORTH, TX 76104-4110
(817) 922-1957
(817) 927-6226
Mailing address
PO BOX 848108, DALLAS, TX 75284-8108
(214) 820-6710
(214) 820-7950
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
000363
TX
363A00000X
Physician Assistant
000363
TX
363L00000X
Nurse Practitioner
000363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135036506
—
TX
01
—
CG5772
RAILROAD
TX
Enumeration date
07/19/2006
Last updated
01/05/2024
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