Provider Demographics
NPI:1548291883
Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
Entity type:Organization
Organization Name:TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
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 910175
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0818
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:682-236-0103
Practice Address - Street 1:1105 CENTRAL EXPRESSEWAY N.
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5465
Practice Address - Country:US
Practice Address - Phone:972-747-6197
Practice Address - Fax:214-345-4187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007242282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127301304Medicaid
TXHOHH095501OtherBCBS
TXHH0995OtherBLUE CROSS
TX020982701Medicaid
TX127301304Medicaid
TX127301304Medicaid