Organization
GREATER DALLAS HEALTHCARE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRANSTETTER (SR DIR, ADMINISTR 501A, TENET)
(469) 893-2000
Entity
Organization
Contact information
Practice address
4002 LOUETTA RD, SPRING, TX 77388-4405
(214) 553-9009
Mailing address
1445 ROSS AVE, STE 1400, DALLAS, TX 75202-2711
(469) 893-6465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193143802
—
TX
Enumeration date
03/03/2010
Last updated
06/08/2016
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