Provider Demographics
NPI:1104381292
Name:TEXAS HEALTH HOSPITAL FRISCO
Entity Type:Organization
Organization Name:TEXAS HEALTH HOSPITAL FRISCO
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 734468
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-4468
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:
Practice Address - Street 1:12400 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4224
Practice Address - Country:US
Practice Address - Phone:469-495-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX670260OtherMEDICARE
TXHOHH278D01OtherBCBS