Organization
VIBRA SPECIALTY HOSPITAL OF DALLAS, LLC
Active
Other names
Vibra Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD EUGENE HOLLINGER (PRESIDENT)
(717) 591-5700
Entity
Organization
Contact information
Practice address
2700 WALKER WAY, DESOTO, TX 75115-2088
(214) 638-1500
(214) 638-4545
Mailing address
PO BOX 26657, FRESNO, CA 93729-6657
(559) 892-2500
(559) 892-2444
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
008391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1979767-01
—
TX
Enumeration date
05/22/2006
Last updated
10/12/2023
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