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Organization

VISTA HOSPITAL OF DALLAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQUELYN N PHAM (FINANCIAL BUSINESS SERVICES DIRECTO)
(713) 378-3000
Entity
Organization

Contact information

Practice address
2696 W WALNUT ST, GARLAND, TX 75042-6441
(713) 378-3000
(713) 378-3104
Mailing address
PO BOX DEPT 802-3 4346, HOUSTON, TX 77210-4346
(713) 378-3000
(713) 378-3104

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000359
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175011901
TX
01
HH1047
BCBS #
TX
Enumeration date
07/25/2006
Last updated
02/03/2009
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