# STATE OF TEXAS VETERANS LAND BOARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clyde W Cosper Texas State Veterans Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982604252
- **Authorized official:** MR. JERRY E PATTERSON (CHAIRMAN TEXAS VETERANS LAND BOARD)
- **Authorized official phone:** (512) 475-2336

## Contact information

- **Practice address:** 1300 SEVEN OAKS RD, BONHAM, TX 75418-3254
- **Practice address phone:** (903) 640-8387
- **Practice address fax:** (903) 640-4281
- **Mailing address:** 1700 NORTH CONGRESS AVENUE, RM 810, AUSTIN, TX 78701-1496
- **Mailing address phone:** (512) 936-6929
- **Mailing address fax:** (512) 475-2294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100534 | TX | Yes |
| 314000000X | Skilled Nursing Facility | 100534 | — | — |
| 314000000X | Skilled Nursing Facility | 67-5857 | TX | — |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 06/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001003135 | — | TX |