# MUSTANG RIDGE HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1912576372
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 8324 CAMERON RD, AUSTIN, TX 78754-3990
- **Practice address phone:** (737) 241-0800
- **Practice address fax:** (737) 241-0801
- **Mailing address:** 8324 CAMERON RD, AUSTIN, TX 78754-3990
- **Mailing address phone:** (737) 241-0800
- **Mailing address fax:** (737) 241-0801

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2021
- **Last updated:** 06/21/2021