Organization
GREATER DALLAS HEALTHCARE ENTERPRISES
Active
Other names
Providence Medical Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ADAMS (SVP REGIONAL OPERATIONS, TENET)
(469) 893-2563
Entity
Organization
Contact information
Practice address
9870 GATEWAY BLVD N, STE. A, EL PASO, TX 79924-4425
(915) 881-3368
(915) 751-0464
Mailing address
PO BOX 840711, DALLAS, TX 75284-0711
(915) 881-3368
(915) 751-0464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
06/08/2016
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