TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE (NPI# 1215296884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215296884 |
| Entity Type | Organization |
| Organization Name | TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE |
| Practice Address |
10864 Texas Health Trl Fort Worth TX 76244-4897 |
| Mailing Address |
Po Box 731778 Dallas TX 75373-1778 |
| Practice Telephone | 6822122000 |
| Practice Fax Number | 8176932510 |
| Mailing Telephone | 8008906034 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MR. DAVID SALSBERRY (CHIEF REVENUE OFFICER) |
| Authorized Official Telephone | 6822366485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
100162 | TX | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 100162 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID HASCO | 316296802 | 01 |
| TX | 316296801 | 05 | |
| TX | BCBSA | HH072D | 01 |
| Street Address |
10864 TEXAS HEALTH TRL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627539 | Richard W Hazen | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2005-08-23 |
| 1831718139 | Theodora Thompson | Nurse Practitioner | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2020-04-16 |
| 1093274607 | Joseph Andre James | Nurse Practitioner | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2019-03-14 |
| 1942776471 | Amber Lane Eastwood | Specialist/Technologist, Other | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2018-10-23 |
| 1962939249 | Jennifer T Hoang | Dietitian, Registered | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2017-05-17 |
| 1528402526 | Cameron Lee Earl | Emergency Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2013-04-20 |
| 1144457193 | Mahmuda Islam | Family Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2009-06-17 |
| 1619139060 | Vinay Punnam | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2008-06-26 |
| 1033378153 | Sanjeetha Aella | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2008-06-04 |
| 1770759862 | Bala Koteswararao Grandhi | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950418 | Angela Ehlen | General Acute Care Hospital | 517 Stone Crossing Ln, Fort Worth, TX 76140-7503 | 2016-05-14 |
| 1407229529 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2015-11-11 |
| 1831515550 | Forest Park Mecial Center At Fort Worth, LLC | General Acute Care Hospital | 5400 Clearfork Main St, Fort Worth, TX 76107 | 2014-03-06 |
| 1275884165 | Federal Bureau of Prisons | General Acute Care Hospital | J Street, Bldg 3000, Fmc Carswell, Fort Worth, TX 76127-7066 | 2012-10-02 |
| 1568656502 | Usmd Hospital At Fort Worth, L.p. | General Acute Care Hospital | 5900 Dirks Rd, Fort Worth, TX 76132-5473 | 2007-09-04 |
| 1871599183 | Fort Worth Surgicare Partners, Ltd. | General Acute Care Hospital | 1800 Park Place Ave, Fort Worth, TX 76110-1302 | 2005-06-22 |
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1003208091 | Victory Medical Center Fort Worth, Lp | General Acute Care Hospital | 600 South Main, Fort Worth, TX 76104 | 2015-02-27 |
| 1649681412 | John Peter Smith Hospital | General Acute Care Hospital | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-05-15 |
| 1871911016 | North Texas - Mca LLC | General Acute Care Hospital | 3101 N Tarrant Pkwy, Fort Worth, TX 76177-8601 | 2014-04-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.