Provider Demographics
NPI:1245523372
Name:TEXAS GENERAL HOSPITAL LP
Entity type:Organization
Organization Name:TEXAS GENERAL HOSPITAL LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:STIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-999-0035
Mailing Address - Street 1:2709 HOSPITAL BLVD
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-1017
Mailing Address - Country:US
Mailing Address - Phone:214-272-0616
Mailing Address - Fax:
Practice Address - Street 1:2709 HOSPITAL BLVD
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-1017
Practice Address - Country:US
Practice Address - Phone:469-999-0000
Practice Address - Fax:972-314-9422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
TX100115282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3181372-01Medicaid
TX670083Medicare PIN