Provider Demographics
NPI:1265619068
Name:TC ALLEN HOSPITAL LP
Entity type:Organization
Organization Name:TC ALLEN HOSPITAL LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TICHENOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-908-2000
Mailing Address - Street 1:1001 RAINTREE CIR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4912
Mailing Address - Country:US
Mailing Address - Phone:972-908-2000
Mailing Address - Fax:972-908-2131
Practice Address - Street 1:1001 RAINTREE CIR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4912
Practice Address - Country:US
Practice Address - Phone:972-908-2000
Practice Address - Fax:972-908-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008639283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673025Medicare Oscar/Certification