Organization
METHODIST HOSPITALS OF DALLAS
Active
Organization
METHODIST HOSPITALS OF DALLAS
Active
Other names
Methodist Richardson Medical Center Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ALLEN BJERKE (EXECUTIVE VP & CFO)
(214) 947-4512
Entity
Organization
Contact information
Practice address
401 W CAMPBELL RD, RICHARDSON, TX 75080-3416
(972) 498-4000
(972) 498-4883
Mailing address
PO BOX 911875, DALLAS, TX 75391-1875
(469) 204-6900
(469) 204-6906
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
000549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020921501
—
TX
Enumeration date
11/25/2008
Last updated
06/08/2023
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