# LEGEND HEALTHCARE MIDLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790979623
- **Authorized official:** MARTIN TOMERLIN (MANAGER)
- **Authorized official phone:** (210) 564-0100

## Contact information

- **Practice address:** 3000 MOCKINGBIRD, MIDLAND, TX 79705-1608
- **Practice address phone:** (432) 694-0077
- **Practice address fax:** (432) 694-0078
- **Mailing address:** 608 SANDAU, SAN ANTONIO, TX 78216-4131
- **Mailing address phone:** (210) 564-0100
- **Mailing address fax:** (210) 564-0157

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 09/04/2007