Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #102
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
1250 8TH AVE, STE 125, FORT WORTH, TX 76104
(817) 922-3800
(817) 922-3801
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(817) 922-3800
(817) 922-3801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117166
PK
—
05
—
470200
—
TX
Enumeration date
09/29/2008
Last updated
04/24/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up