Organization
GULF STATES LTAC OF DALLAS SOUTH LLC
Active
Other names
Gulf States LTAC of Desoto
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE E. SMITH (PRESIDENT AND COO)
(225) 216-2299
Entity
Organization
Contact information
Practice address
2700 WALKER WAY, DESOTO, TX 75115-2089
(225) 906-4006
(225) 906-4042
Mailing address
2700 WALKER WAY, DESOTO, TX 75115-2089
(972) 298-1580
(972) 298-1578
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
008748
TX
Other
Enumeration date
01/10/2008
Last updated
02/11/2009
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