# MID-TEX BRIARWOOD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144301060
- **Authorized official:** MRS. ALLYSON PAWLOWSKI (OWNER)
- **Authorized official phone:** (979) 865-3145

## Contact information

- **Practice address:** 1515 W MAIN ST, BELLVILLE, TX 77418-9737
- **Practice address phone:** (979) 865-3145
- **Practice address fax:** (979) 865-9963
- **Mailing address:** 1515 W MAIN ST, P.O. BOX 202, BELLVILLE, TX 77418-9737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 004648 | TX | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001000752 | — | TX |
| 01 | — | 4648 | VENDOR NUMBER | TX |