# MASON GEORGETOWN OP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Estrella Oaks Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285934232
- **Authorized official:** BRIAN R. THREADGILL (ADMINISTRATOR)
- **Authorized official phone:** (512) 868-2700

## Contact information

- **Practice address:** 4011 WILLIAMS DR, GEORGETOWN, TX 78628-2491
- **Practice address phone:** (512) 868-2700
- **Practice address fax:** (512) 868-2999
- **Mailing address:** 4011 WILLIAMS DR, GEORGETOWN, TX 78628-2491
- **Mailing address phone:** (512) 868-2700
- **Mailing address fax:** (512) 868-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 134293 | TX | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 08/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001019243 | — | TX |
| 01 | — | 104710 | FACILITY ID | TX |