Organization
HICKORY TRAIL HOSPITAL, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 678-3300
Entity
Organization
Contact information
Practice address
2000 OLD HICKORY TRL, DESOTO, TX 75115-2242
(972) 298-7323
(972) 709-0581
Mailing address
2000 OLD HICKORY TRL, DESOTO, TX 75115-2242
(972) 298-7323
(972) 709-0581
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
008378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184076101
—
TX
Enumeration date
12/19/2006
Last updated
04/27/2011
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