| NPI | 1689650616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN GLASS Reimbursement Analyst 936-639-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital Rural |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 000466) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2024-04-01 |