# MOC WEBSTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgemoor of Webster
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689178139
- **Authorized official:** MARK FRITZ (PRESIDENT)
- **Authorized official phone:** (512) 524-7321

## Contact information

- **Practice address:** 16130 GALVESTON ROAD, WEBSTER, TX 77598
- **Practice address phone:** (512) 524-7321
- **Mailing address:** 1320 ARROW POINT DR STE 506, CEDAR PARK, TX 78613-2189
- **Mailing address phone:** (512) 524-7321

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2018
- **Last updated:** 09/19/2019
