Provider Demographics
NPI:1205880275
Name:COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP
Entity type:Organization
Organization Name:COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-519-1520
Mailing Address - Street 1:1620 COIT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6135
Mailing Address - Country:US
Mailing Address - Phone:972-596-6800
Mailing Address - Fax:972-519-1295
Practice Address - Street 1:1620 COIT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6135
Practice Address - Country:US
Practice Address - Phone:972-596-6800
Practice Address - Fax:972-519-1295
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-22
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========001OtherTRICARE REHAB
=========001OtherTRICARE REHAB