Provider Demographics
NPI:1700033016
Name:TRANSPLANT ASSOCIATES OF BAYLOR HEALTH CARE SYSTEM, PA
Entity Type:Organization
Organization Name:TRANSPLANT ASSOCIATES OF BAYLOR HEALTH CARE SYSTEM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GORAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KLINTMALM
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD, FACS
Authorized Official - Phone:214-820-1730
Mailing Address - Street 1:8111 LBJ FWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1313
Mailing Address - Country:US
Mailing Address - Phone:972-295-7861
Mailing Address - Fax:972-295-7450
Practice Address - Street 1:3500 GASTON AVE
Practice Address - Street 2:4TH FLOOR ROBERTS
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2017
Practice Address - Country:US
Practice Address - Phone:214-820-2050
Practice Address - Fax:214-820-4527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty