# WEST WHARTON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023576865
- **Authorized official:** DAVID H MAK (CFO)
- **Authorized official phone:** (713) 569-7370

## Contact information

- **Practice address:** 8707 LAKESIDE PKWY, SAN ANTONIO, TX 78245-3245
- **Practice address phone:** (210) 510-3200
- **Practice address fax:** (210) 645-1687
- **Mailing address:** 303 SANDY CORNER RD, EL CAMPO, TX 77437-9535
- **Mailing address phone:** (979) 578-5250

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2019
- **Last updated:** 11/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001030439 | — | TX |
| 05 | — | 105220 | — | TX |
| 05 | — | 5634 | — | TX |