Provider Demographics
NPI:1689606220
Name:TENET HEALTHSYSTEM HOSPITALS DALLAS, INC.
Entity Type:Organization
Organization Name:TENET HEALTHSYSTEM HOSPITALS DALLAS, INC.
Other - Org Name:RHD MEMORIAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF TAXATION, TENET HEALTHCARE
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:RABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2530
Mailing Address - Street 1:PO BOX 849975
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9975
Mailing Address - Country:US
Mailing Address - Phone:214-387-6444
Mailing Address - Fax:972-888-7090
Practice Address - Street 1:7 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7823
Practice Address - Country:US
Practice Address - Phone:972-247-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000449282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
74897OtherCOVENTRY HEALTH CARE GEOR
000433OtherHUMANA
LA1748536Medicaid
104665OtherCOVENTRY HEALTH CARE LA
450379B000000OtherSECTION 1011
HH0572OtherBCBS OF TEXAS
45-0379Medicare Oscar/Certification