Provider Demographics
NPI:1407248982
Name:TENET HEALTHCARE
Entity Type:Organization
Organization Name:TENET HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NAMED ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-6538
Mailing Address - Street 1:613 ROCKCROSSING LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-5263
Mailing Address - Country:US
Mailing Address - Phone:214-607-8456
Mailing Address - Fax:972-727-5440
Practice Address - Street 1:613 ROCKCROSSING LN
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-5263
Practice Address - Country:US
Practice Address - Phone:214-607-8456
Practice Address - Fax:972-727-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX736323261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care