Organization
TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF MINCHER (SENIOR VP REVENUE CYCLE)
(682) 236-0103
Entity
Organization
Contact information
Practice address
10864 TEXAS HEALTH TRL, FORT WORTH, TX 76244-4897
(682) 212-2000
(817) 693-2510
Mailing address
PO BOX 731778, DALLAS, TX 75373-1778
(800) 890-6034
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
100162
TX
282N00000X
General Acute Care Hospital
Primary
100162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316296801
—
TX
01
—
316296802
MEDICAID HASCO
TX
01
—
HH072D
BCBSA
TX
01
—
HOHH072D01
BCBS
TX
Enumeration date
05/16/2012
Last updated
04/21/2022
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