Provider Demographics
NPI:1366822447
Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
Entity Type:Organization
Organization Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-981-8122
Mailing Address - Street 1:PO BOX 910156
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0156
Mailing Address - Country:US
Mailing Address - Phone:682-236-3576
Mailing Address - Fax:682-236-4608
Practice Address - Street 1:6200 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8185
Practice Address - Country:US
Practice Address - Phone:972-981-8079
Practice Address - Fax:972-981-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000664261QR0404X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicaid
TXPENDINGMedicare Oscar/Certification