Provider Demographics
NPI:1578647145
Name:PRESBYTERIAN HOSPITAL
Entity Type:Organization
Organization Name:PRESBYTERIAN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BONDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-345-4204
Mailing Address - Street 1:8440 WALNUT HILL LN
Mailing Address - Street 2:SUITE 540
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3833
Mailing Address - Country:US
Mailing Address - Phone:214-345-4204
Mailing Address - Fax:214-345-4586
Practice Address - Street 1:8440 WALNUT HILL LN
Practice Address - Street 2:SUITE 540
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3833
Practice Address - Country:US
Practice Address - Phone:214-345-4204
Practice Address - Fax:214-345-4586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC3585261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX79472Medicare UPIN