| NPI | 1174258651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEIGH MOORE Payroll Specialist 817-241-9798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 283Q00000X Psychiatric Hospital | |
| 283X00000X Rehabilitation Hospital | |
| 284300000X Special Hospital | |
| 2865M2000X Military Hospital, Military General Acute Care Hospital | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |