Organization
BRIDGEPORT ESSENTIAL PRACTICES, LLC
Active
Other names
Bridgeport Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND J. WATT (OPERATING MANAGER)
(731) 267-2861
Entity
Organization
Contact information
Practice address
102 W CATES ST, BRIDGEPORT, TX 76426-2709
(940) 683-5183
Mailing address
102 W CATES ST, BRIDGEPORT, TX 76426-2709
(940) 683-5183
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
004054
TX
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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