Organization
SOUTHWEST LTC GULF HEALTHCARE LTD
Active
Other names
Gulf Healthcare Center Texas City
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE ESQ. (CEO)
(469) 916-6100
Entity
Organization
Contact information
Practice address
1720 N LOGAN ST, TEXAS CITY, TX 77590-4931
(469) 916-6100
(469) 916-6105
Mailing address
1518 LEGACY DR, SUITE 110, FRISCO, TX 75034-6038
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5325
—
TX
Enumeration date
09/06/2005
Last updated
06/02/2015
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