# AMBASSADOR MEDICAL SUPPLY OF TEXAS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Care Center of Stamford
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760432538
- **Authorized official:** JUSTIN FREEBOURN (PRESIDENT)
- **Authorized official phone:** (940) 220-6440

## Contact information

- **Practice address:** 1003 COLUMBIA STREET, STAMFORD, TX 79553
- **Practice address phone:** (325) 773-3671
- **Practice address fax:** (325) 773-5751
- **Mailing address:** 1714 TEASLEY LANE, DENTON, TX 76205
- **Mailing address phone:** (940) 220-6440
- **Mailing address fax:** (940) 220-6443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 120372 | TX | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020