Provider Demographics
NPI:1720354590
Name:NORTHWEST TEXAS HEALTHCARE SYSTEM INC
Entity Type:Organization
Organization Name:NORTHWEST TEXAS HEALTHCARE SYSTEM INC
Other - Org Name:NORTHWEST TEXAS HEALTHCARE SYSTEM ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-204-6747
Mailing Address - Street 1:4100 INTERNATIONAL PLZ STE 600
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4823
Mailing Address - Country:US
Mailing Address - Phone:817-529-2650
Mailing Address - Fax:817-529-3088
Practice Address - Street 1:1501 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1770
Practice Address - Country:US
Practice Address - Phone:806-354-1000
Practice Address - Fax:806-354-1122
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHWEST TEXAS HEALTHCARE SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty