# SOUTHWEST LTC LAMAR LTD

> 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:** Deport Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972785020
- **Authorized official:** RONALD R. PAYNE (CEO)
- **Authorized official phone:** (469) 916-6100

## Contact information

- **Practice address:** 126 US HIGHWAY 271 SOUTH, DEPORT, TX 75435-2534
- **Practice address phone:** (903) 652-4410
- **Practice address fax:** (903) 652-4618
- **Mailing address:** 17760 PRESTON RD, SUITE 310, DALLAS, TX 75252-5663
- **Mailing address phone:** (469) 916-6100
- **Mailing address fax:** (469) 916-6105

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 02/28/2008