| NPI | 1356396279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN DOPLER Billing Specialist 903-413-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 116910) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-02-17 |