Organization
COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP
Active
Other names
Medical City Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VILLAGRAN (CFO)
(817) 347-5862
Entity
Organization
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(817) 336-2100
(817) 347-5796
Mailing address
900 8TH AVE, FORT WORTH, TX 76104-3902
(817) 336-2100
(817) 347-5796
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035441
—
NJ
05
—
094193202
—
TX
05
—
117678100
—
WY
01
—
166010000
DEPT OF LABOR
—
05
—
200060080A
—
OK
05
—
82203000
—
WI
05
—
B1659
—
NM
01
—
HH0730
BLUE CROSS
TX
Enumeration date
05/17/2006
Last updated
11/10/2025
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