Organization
MID-TEX BRIARWOOD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLYSON PAWLOWSKI (OWNER)
(979) 865-3145
Entity
Organization
Contact information
Practice address
1515 W MAIN ST, BELLVILLE, TX 77418-9737
(979) 865-3145
(979) 865-9963
Mailing address
1515 W MAIN ST, P.O. BOX 202, BELLVILLE, TX 77418-9737
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
004648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001000752
—
TX
01
—
4648
VENDOR NUMBER
TX
Enumeration date
10/18/2006
Last updated
06/13/2008
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