Provider Demographics
NPI:1396779948
Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
Entity type:Organization
Organization Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-3013
Mailing Address - Street 1:PO BOX 910115
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0115
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:
Practice Address - Street 1:8200 WALNUT HILL LANE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4426
Practice Address - Country:US
Practice Address - Phone:214-345-5634
Practice Address - Fax:214-345-7046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000431261QA1903X, 282N00000X
273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX025249601Medicaid
TXHH0598OtherBLUE CROSS
TXHOHH059801OtherBCBS
TX0209082-04OtherMEDICAID HASCO
TX020908201Medicaid
TX022833001Medicaid
TX0209082-04OtherMEDICAID HASCO
TX450462Medicare Oscar/Certification