# MID-TEX GERIATRIC, INC

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

## Provider details

- **NPI number:** 1205922671
- **Authorized official:** WALTER STEVEN PAWLOWSKI (OWNER)
- **Authorized official phone:** (979) 865-3689

## Contact information

- **Practice address:** 108 N BARON ST, BELLVILLE, TX 77418-1303
- **Practice address phone:** (979) 865-3689
- **Mailing address:** 108 N BARON ST, BELLVILLE, TX 77418-1303
- **Mailing address phone:** (979) 865-3689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 005151 | TX | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020