Provider Demographics
NPI:1306870399
Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD
Entity type:Organization
Organization Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-3013
Mailing Address - Street 1:PO BOX 916060
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76191-6060
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:
Practice Address - Street 1:2717 TIBBETS DRIVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6913
Practice Address - Country:US
Practice Address - Phone:817-685-4011
Practice Address - Fax:817-685-4469
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRIS-METHODIST H-E-B
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000778273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHOHH658901OtherBCBS PHP
TX45S639B000000OtherSECTION 1011
TX136326908Medicaid
TX180527300OtherDEPT OF LABOR