| NPI | 1750716791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTONT CLARK PACKARD Doctor 832-831-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX J6641) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |