Organization
GREATER DALLAS HEALTHCARE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRANSTETTER (SR DIR, ADMINISTR 501A, TENET)
(469) 893-2000
Entity
Organization
Contact information
Practice address
1445 ROSS AVE STE 1400, DALLAS, TX 75202-2703
(469) 893-6465
Mailing address
PO BOX 840711, DALLAS, TX 75284-0711
(972) 463-4313
(972) 463-4245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193143801
—
TX
Enumeration date
05/24/2007
Last updated
07/21/2022
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