Organization
WEST 380 FAMILY CARE FACILITY
Active
Other names
Doctors' Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL E. IBARRA III (CFO)
(940) 683-0300
Entity
Organization
Contact information
Practice address
1905 DOCTORS HOSPITAL DR, BRIDGEPORT, TX 76426-2260
(940) 683-5425
(940) 683-4327
Mailing address
1905 DOCTORS HOSPITAL DR, BRIDGEPORT, TX 76426-2260
(940) 683-5425
(940) 683-4327
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
TX
282N00000X
General Acute Care Hospital
Primary
—
TX
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197807401
—
TX
Enumeration date
01/29/2008
Last updated
06/27/2011
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