Dufek Massif Hospital Corporation

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

100160 Issued in TX

Legal business name

DUFEK MASSIF HOSPITAL CORPORATION

Doing business as

University General Hospital Dallas

Practice address

2929 S Hampton Rd
Dallas, TX 75224-3026

Phone

(214) 623-4400

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Harmonee Vice

Title

Coo

Phone

(713) 375-7000

Specialties & licenses 1

Addresses

Other names 1

• University General Hospital Dallas Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670002

Legal name

UNIVERSITY GENERAL HOSPITAL DALLAS

Certification status

Terminated Voluntary: merger or closure, Dec 19, 2014

Provider type (POS)

Hospital – Short-term

Participating since

Aug 3, 2005

Last certification

Sep 5, 2014

Beds

111

Ownership / control type

Private (for profit)

Most recent change of ownership

Dec 6, 2011 (1 total)

Facility address

2929 South Hampton Road
Dallas, TX 75224

Locations

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1376969741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243026",
            "telephone_number": "214-623-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243026",
            "telephone_number": "214-623-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFEK MASSIF HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "VICE",
        "authorized_official_first_name": "HARMONEE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "713-375-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "100160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University General Hospital Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Anthony Dudley, DNP, APRN, FNP-C
• William Carlisle Dudley, D.O.
• Jazmin Duenas-Bautista
• Alicia Ines Duenas, MD
• Daniella Duero
• Kenyatta Moniece Duffin, LVN
• Amber Duffins
• Frederick J Duffy Jr., M.D.
• Katie Ann Duffy, PHYSICIAN ASSISTANT
• Christopher Dufour

• General Acute Care Hospital in Dallas, TX
• Providers in Dallas, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.