Provider Demographics
NPI:1295745362
Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD
Entity type:Organization
Organization Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CFO HEB
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-685-4011
Mailing Address - Street 1:PO BOX 916060
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76191-6060
Mailing Address - Country:US
Mailing Address - Phone:817-685-4000
Mailing Address - Fax:682-236-4620
Practice Address - Street 1:1600 HOSPITAL PKWY
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6913
Practice Address - Country:US
Practice Address - Phone:817-685-4011
Practice Address - Fax:817-685-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000182207RC0000X, 282N00000X
367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCG6384OtherMEDICARE RAILROAD
TX00G10GMedicare ID - Type UnspecifiedMEDICARE GROUP #