Organization
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RYAN GEBHART (CEO)
(469) 814-4801
Entity
Organization
Contact information
Practice address
12505 LEBANON RD, FRISCO, TX 75035
(972) 963-3333
Mailing address
PO BOX 840782, DALLAS, TX 75284-0782
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
100421
TX
Other
Enumeration date
07/04/2006
Last updated
08/01/2024
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