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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