Provider Demographics
NPI:1316361025
Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN
Entity Type:Organization
Organization Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN
Other - Org Name:TEXAS HEALTH KAUFMAN MIDWIFE CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:SVP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-250-3478
Mailing Address - Street 1:874 ED HALL DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-1861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:874 ED HALL DR
Practice Address - Street 2:SUITE 102
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-1861
Practice Address - Country:US
Practice Address - Phone:972-932-5411
Practice Address - Fax:972-932-5411
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-17
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
TX000303282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45-0292Medicare UPIN