Provider Demographics
NPI:1245201656
Name:TEXAS INSTITUTE FOR SURGERY, LLP
Entity Type:Organization
Organization Name:TEXAS INSTITUTE FOR SURGERY, LLP
Other - Org Name:TEXAS INSTITUTE FOR SURGERY AT TEXAS HEALTH PRESBYTERIAN DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HELFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-647-5300
Mailing Address - Street 1:PO BOX 676249
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-6249
Mailing Address - Country:US
Mailing Address - Phone:972-419-1446
Mailing Address - Fax:972-419-1545
Practice Address - Street 1:7115 GREENVILLE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5101
Practice Address - Country:US
Practice Address - Phone:214-647-5390
Practice Address - Fax:214-647-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008131282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173574801Medicaid
HH1062OtherBLUE CROSS BLUE SHIELD
TX=========OtherTAX IDENTIFICATION NUMBER
HH1062OtherBLUE CROSS BLUE SHIELD