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  • 676270
CCN: 676270 NPI: 1700193588 Organization

BRENTWOOD PLACE FOUR

3505 S BUCKNER BLVD , BUILDING 5
DALLAS, TX 752275534

Contact Information

  • Phone 2143811815
  • Enumeration Date 2010-09-01
  • Last Updated 2018-11-16

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9804699763
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9802564842
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.0170201818
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9914179636

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 19124
providerType 38
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 11

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