Provider Demographics
NPI:1134677552
Name:TEXAS HEALTH SPRINGWOOD BEHAVIORAL HEALTH HOSPITAL
Entity Type:Organization
Organization Name:TEXAS HEALTH SPRINGWOOD BEHAVIORAL HEALTH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT OF BEHAVIORAL
Authorized Official - Prefix:MS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBURN
Authorized Official - Suffix:
Authorized Official - Credentials:FACHE
Authorized Official - Phone:682-236-7427
Mailing Address - Street 1:500 E BORDER ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-7445
Mailing Address - Country:US
Mailing Address - Phone:682-236-6223
Mailing Address - Fax:682-236-4620
Practice Address - Street 1:2717 TIBBETS DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6914
Practice Address - Country:US
Practice Address - Phone:817-848-7771
Practice Address - Fax:817-685-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000778283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGOtherBCBS PSY INPATIENT
TXPENDINGMedicaid
TXPENDINGMedicaid