Organization
TRISTAR CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAYEZ Y MOHAMMED (PRESIDENT)
(512) 698-9010
Entity
Organization
Contact information
Practice address
619 W LIVE OAK ST, FREDERICKSBURG, TX 78624-4415
(830) 997-4391
Mailing address
2704 BLACKSTONE CV, ROUND ROCK, TX 78664-7892
(512) 698-9010
(512) 310-0631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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