Organization
METHODIST HOSPITAL OF DALLAS
Active
Other names
Methodist Dallas Medical Center
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
PO BOX 655999, DALLAS, TX 75265-5999
(214) 947-8181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C19E
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
03/30/2006
Last updated
11/29/2007
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