Organization
PINE CREEK MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS WILSON (CFO)
(214) 572-7132
Entity
Organization
Contact information
Practice address
9032 HARRY HINES BLVD, DALLAS, TX 75235-1720
(214) 231-2273
Mailing address
9032 HARRY HINES BLVD, DALLAS, TX 75235-1720
(214) 231-2273
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
008182
TX
Other
Enumeration date
05/24/2005
Last updated
12/30/2014
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