Baylor Institute for Rehabilitation at Gaston Episcopal Hospital

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

000642 Issued in TX

Legal business name

BAYLOR INSTITUTE FOR REHABILITATION AT GASTON EPISCOPAL HOSPITAL

Practice address

909 N Washington Ave
Dallas, TX 75246-1520

Phone

(214) 820-9300

Fax

(214) 820-9295

NPI assigned

Jul 7, 2005

Last updated

Sep 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cheryl D McMullan

Title

Vice President of Finance

Phone

(214) 820-9505

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1003813742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847093",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847093",
            "telephone_number": "214-820-1538",
            "fax_number": "214-820-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N WASHINGTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461520",
            "telephone_number": "214-820-9300",
            "fax_number": "214-820-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR INSTITUTE FOR REHABILITATION AT GASTON EPISCOPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MCMULLAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "214-820-9505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TX",
            "license": "000642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112721902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Baylor Specialty Health Centers (Our Children's House at Baylor)

• Rehabilitation Hospital in Dallas, TX
• Providers in Dallas, TX by specialty
• Rehabilitation Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.