Provider Demographics
NPI:1477376119
Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Entity type:Organization
Organization Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP 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 1:1325 PENNSYLVANIA AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2100
Mailing Address - Country:US
Mailing Address - Phone:682-236-5050
Mailing Address - Fax:682-236-0034
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 290
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2100
Practice Address - Country:US
Practice Address - Phone:682-236-5050
Practice Address - Fax:682-236-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy