Organization
BAYLOR ALL SAINTS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SANBORN (CEO)
(817) 922-1854
Entity
Organization
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-1957
(817) 927-6226
Mailing address
PO BOX 848108, DALLAS, TX 75284-8108
(214) 820-6710
(214) 820-7950
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
000363
TX
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
000363
TX
Other
Enumeration date
07/28/2005
Last updated
12/31/2019
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