# SOUTHWEST LTC GULF HEALTHCARE LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Healthcare Center Texas City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285628370
- **Authorized official:** RONALD R PAYNE ESQ. (CEO)
- **Authorized official phone:** (469) 916-6100

## Contact information

- **Practice address:** 1720 N LOGAN ST, TEXAS CITY, TX 77590-4931
- **Practice address phone:** (469) 916-6100
- **Practice address fax:** (469) 916-6105
- **Mailing address:** 1518 LEGACY DR, SUITE 110, FRISCO, TX 75034-6038
- **Mailing address phone:** (469) 916-6100
- **Mailing address fax:** (469) 916-6105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 005325 | TX | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 06/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5325 | — | TX |