Organization
IRVING-COPPELL SURGICAL HOSPITAL LLP
Active
Other names
BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS
Organization subpart
No
Provider details
NPI number
Authorized official
DONITA FLEMING (OFFICER/AUTHORIZED OFFICIAL)
(202) 815-3665
Entity
Organization
Contact information
Practice address
400 WEST I-635, SUITE 101, IRVING, TX 75063-3842
(972) 868-4000
(972) 868-4009
Mailing address
400 W LYNDON B JOHNSON FWY STE 101B, IRVING, TX 75063-3718
(972) 868-4000
(972) 868-4009
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
007995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163936101
—
TX
05
—
163936102
—
TX
Enumeration date
10/06/2006
Last updated
10/09/2024
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