Organization
FPACP UPSHUR LLC
Active
Other names
Focused Care of Gilmer
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MCKENZIE (MANAGER)
(817) 632-1000
Entity
Organization
Contact information
Practice address
623 STATE HIGHWAY 155 N, GILMER, TX 75644-5725
(903) 797-2143
(903) 797-2725
Mailing address
1401 BALLINGER ST, FORT WORTH, TX 76102-5903
(817) 632-1000
(817) 632-1001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
01/13/2017
Last updated
05/06/2021
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