# THI OF TEXAS AT LUBBOCK II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Regional Skilled Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003904376
- **Authorized official:** RICHARD HERREN (PRESIDENT)
- **Authorized official phone:** (806) 767-9133

## Contact information

- **Practice address:** 1401 9TH STREET, LUBBOCK, TX 79401
- **Practice address phone:** (806) 767-9133
- **Practice address fax:** (806) 767-9033
- **Mailing address:** 920 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 09/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001012469 | — | TX |