Organization
HSMTX/STALLONES-TOMBALL, LLC
Active
Other names
Tomball Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A. DAVIS (VP FINANCE)
(713) 934-7800
Entity
Organization
Contact information
Practice address
13415 MEDICAL COMPLEX DR, TOMBALL, TX 77375-3309
(281) 357-4843
(281) 357-5808
Mailing address
5300 HOLLISTER ST, SUITE 550, HOUSTON, TX 77040-6137
(713) 934-7800
(713) 895-0064
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
116122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000638
VENDOR/FACILITY ID
TX
Enumeration date
09/02/2006
Last updated
08/22/2020
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