Provider Demographics
NPI:1003883158
Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
Entity Type:Organization
Organization Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
Other - Org Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-3013
Mailing Address - Street 1:PO BOX 731467
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-1467
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:940-898-7099
Practice Address - Street 1:3000 NORTH I 35
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5119
Practice Address - Country:US
Practice Address - Phone:940-898-7000
Practice Address - Fax:940-898-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
TX008208282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX020967803Medicaid
TX020967801Medicaid
TXHOHH107601OtherBCBS
TX020967802Medicaid