Organization
FRISCO MEDICAL CENTER LLP
Active
Other names
Baylor Scott & White Med Cntr - Frisco
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR CASTENADA (OFFICER/AUTHORIZED OFFICIAL)
(214) 407-5010
Entity
Organization
Contact information
Practice address
5601 WARREN PKWY, FRISCO, TX 75034-4069
(214) 407-5000
(214) 407-5004
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 763-3859
(214) 407-5004
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
007874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571440001
—
TX
05
—
157144001
—
TX
01
—
HH1015
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/10/2005
Last updated
10/07/2024
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