Texas Health Harris Methodist Hospital Southlake

LBN: Southlake Specialty Hospital, Llc
Texas Health Harris Methodist Hospital Southlake is an health care organization with primary practice located at 1545 Southlake Blvd. , Southlake TX 76092-6422. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Southlake Specialty Hospital, Llc can be contacted via phone (817) 748-8784, or through Bernard, Traci via phone (817) 748-8784.

Contact Information

Primary practice address
1545 Southlake Blvd. Southlake TX 76092-6422
Phone: (817) 748-8784
Fax: (817) 748-8787
Website:
Map and Directions
Authorized official contact:
Name: Bernard, Traci
Phone: (817) 748-8784

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 008128 Texas

Profile Details

NPI number 1609071976
LBN Legal business name Southlake Specialty Hospital, Llc
DBA Doing business as Texas Health Harris Methodist Hospital Southlake
Authorized official Bernard, Traci
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Feb 7th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609071976 NPPES
Texas MEDICAID 171461002
Texas Other HH1061

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