Basic Information
| Provider Information | |||||||||
| NPI: | 1861940272 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TEXAS HEALTH SPRINGWOOD BEHAVIORAL HEALTH HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 E BORDER ST | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760107445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8175708500 | ||||||||
| FaxNumber: | 6822364620 | ||||||||
| Practice Location | |||||||||
| Address1: | 2717 TIBBETS DR | ||||||||
| Address2: | |||||||||
| City: | BEDFORD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760226914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8178487771 | ||||||||
| FaxNumber: | 8176854469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2016 | ||||||||
| LastUpdateDate: | 09/27/2016 | ||||||||
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| AuthorizedOfficialLastName: | OSBURN | ||||||||
| AuthorizedOfficialFirstName: | RAMONA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SENIOR VICE PRESIDENT OF BEHAVIORAL | ||||||||
| AuthorizedOfficialTelephone: | 6822367427 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | FACHE | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | 000778 | TX | Y | Hospitals | Psychiatric Hospital |
ID Information
| ID | Type | State | Issuer | Description | PENDING | 01 | TX | BCBS PSY HOSPITAL DAY REHAB | OTHER | PENDING | 05 | TX | MEDICAID |