Provider Demographics
NPI:1114311768
Name:NORTH TEXAS STATE HOSPITAL
Entity Type:Organization
Organization Name:NORTH TEXAS STATE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR-OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-689-1220
Mailing Address - Street 1:7985 STATE HIGHWAY 79 S
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-0460
Mailing Address - Country:US
Mailing Address - Phone:940-447-0217
Mailing Address - Fax:
Practice Address - Street 1:7985 STATE HIGHWAY 79 S
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-0460
Practice Address - Country:US
Practice Address - Phone:940-447-0217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-21
Last Update Date:2015-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital