Provider Demographics
NPI:1710499835
Name:THP DALLAS HILLCREST, MC LLC
Entity Type:Organization
Organization Name:THP DALLAS HILLCREST, MC LLC
Other - Org Name:UNIVERSITY PARK ER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:BROWNFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-548-0351
Mailing Address - Street 1:6215 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-5007
Mailing Address - Country:US
Mailing Address - Phone:214-548-0351
Mailing Address - Fax:
Practice Address - Street 1:6215 HILLCREST AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5007
Practice Address - Country:US
Practice Address - Phone:214-548-0351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THP DALLAS HILLCREST, MC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-30
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care