Provider Demographics
NPI:1902047376
Name:FLOWER MOUND HOSPITAL PARTNERS, LLC
Entity Type:Organization
Organization Name:FLOWER MOUND HOSPITAL PARTNERS, LLC
Other - Org Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-2005
Mailing Address - Street 1:4400 LONG PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1892
Mailing Address - Country:US
Mailing Address - Phone:469-322-7089
Mailing Address - Fax:469-464-3771
Practice Address - Street 1:4400 LONG PRAIRIE ROAD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1752
Practice Address - Country:US
Practice Address - Phone:972-419-6704
Practice Address - Fax:972-419-8118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217744601Medicaid
TX217744602Medicaid
TX100056OtherDSHS