Provider Demographics
NPI:1174795207
Name:AFFINITY HOSPITAL DALLAS
Entity type:Organization
Organization Name:AFFINITY HOSPITAL DALLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JULIA
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-642-3840
Mailing Address - Street 1:2692 W WALNUT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-6474
Mailing Address - Country:US
Mailing Address - Phone:469-656-3420
Mailing Address - Fax:214-291-5928
Practice Address - Street 1:2696 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6441
Practice Address - Country:US
Practice Address - Phone:972-487-2426
Practice Address - Fax:972-487-2595
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFINITY HEALTHCARE SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital