| Hickory Trail Hospital | |
|
2000 Old Hickory Trl Desoto TX 75115-2242 | |
| (972) 298-7323 | |
| Not Available |
| Full Name | Hickory Trail Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 2000 Old Hickory Trl, Desoto, Texas |
| Authorized Official Name and Position | Steve Filton (VP) |
| Authorized Official Contact | 6107683482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Trail Hospital 2000 Old Hickory Trl Desoto TX 75115-2242 Ph: () - | Hickory Trail Hospital 2000 Old Hickory Trl Desoto TX 75115-2242 Ph: (972) 298-7323 |
| NPI Number | 1467965905 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467965905 | NPI | - | NPPES |
| NONE | Other | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (Texas) | Primary |
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