Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Prairie Estates
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO CASTANEDA (EXECUTIVE VICE PRESIDENT & COO)
(214) 590-4582
Entity
Organization
Contact information
Practice address
1350 MAIN ST, FRISCO, TX 75033-4348
(214) 705-9108
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-6145
MEDICARE CCN
TX
Enumeration date
01/07/2015
Last updated
08/28/2025
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