Provider Demographics
NPI:1093930083
Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
Entity Type:Organization
Organization Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
Other - Org Name:
Other - Org Type:
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 910156
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0156
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:682-236-0103
Practice Address - Street 1:6110 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7939
Practice Address - Country:US
Practice Address - Phone:972-981-8301
Practice Address - Fax:972-981-8558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000720273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHO4507710Medicaid
TX343909OtherVALUE OPTIONS
TXHH6569OtherBC FULL DAY
TXHH0865OtherBC INPATIENT
TX6546680OtherAETNA
TXHH3865OtherBC INPATIENT CHEM DEP
TX6546680OtherAETNA