| Greater Dallas Healthcare Enterprises | |
|
4002 Louetta Rd Spring TX 77388-4405 | |
| (214) 553-9009 | |
| Not Available |
| Full Name | Greater Dallas Healthcare Enterprises |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 4002 Louetta Rd, Spring, Texas |
| Authorized Official Name and Position | Robert Branstetter (SR DIR, ADMINISTR 501A, TENET) |
| Authorized Official Contact | 4698932000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Dallas Healthcare Enterprises 1445 Ross Ave Ste 1400 Dallas TX 75202-2711 Ph: (469) 893-6465 | Greater Dallas Healthcare Enterprises 4002 Louetta Rd Spring TX 77388-4405 Ph: (214) 553-9009 |
| NPI Number | 1952624074 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952624074 | NPI | - | NPPES |
| 193143802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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