Organization
METHODIST HOSPTIAL OF DALLAS
Active
Other names
Physicians Emergency Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J SCHAEFER (EXEC VP & CHIEF FINANCIAL OFFICER)
(214) 947-4510
Entity
Organization
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8181
Mailing address
4040 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75204-3158
(214) 520-5700
(214) 520-5794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064BH
BLUE CROSS BLUE SHIELD TX
TX
05
—
080937801
—
TX
Enumeration date
03/24/2006
Last updated
06/26/2012
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