Organization Active NPI

Preston Hollow Emergency Room

  • Emergency Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1356740534
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PRESTON HOLLOW EMERGENCY ROOM
Practice address
8007 Walnut Hill LN
Dallas, TX 75231-4313
Phone
(214) 217-0911
Fax
(214) 217-0915
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Jennifer Lanza, R.N.
Title
Administrator
Phone
(214) 217-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

8007 Walnut Hill LN
Dallas, TX 75231-4313

Mailing address

8007 Walnut Hill LN
Dallas, TX 75231-4313
Phone (214) 217-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 670164

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PRESTON HOLLOW EMERGENCY ROOM, LLC
Certification status
Terminated Voluntary: merger or closure, Dec 1, 2020
Provider type (POS)
Hospital – Short-term
Participating since
Apr 24, 2020
Last certification
Apr 24, 2020
Beds
1
Ownership / control type
Private (not for profit)
Facility address
8007 Walnut Hill LN
Dallas, TX 75231

National Provider Directory

National Provider Directory

Locations

8007 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 217-0911

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1356740534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "214-217-0911",
            "fax_number": "214-217-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "214-217-0911",
            "fax_number": "214-217-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON HOLLOW EMERGENCY ROOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-217-0911",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.