# COUNTY OF THROCKMORTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Graham Oaks Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659535441
- **Authorized official:** MR. KIRBY D GOBER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (940) 849-2141

## Contact information

- **Practice address:** 1325 1ST ST., GRAHAM, TX 76450-3603
- **Practice address phone:** (940) 549-8787
- **Practice address fax:** (940) 521-0355
- **Mailing address:** 4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
- **Mailing address phone:** (817) 348-8959
- **Mailing address fax:** (817) 348-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114203 | TX | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 12/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016158 | — | TX |