Organization
COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP
Active
Other names
Medical City Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SHREEVE (CFO)
(972) 566-6225
Entity
Organization
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2505
(469) 420-7602
(972) 566-6248
Mailing address
7777 FOREST LN, DALLAS, TX 75230-2505
(469) 420-7602
(972) 566-6248
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00463Y
MEDICARE (TRAILBLAZER PRO)
—
Enumeration date
07/06/2007
Last updated
11/15/2016
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