Organization
SOUTHWEST LTC--TOMBALL LTD
Active
Other names
Tomball Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE ESQ. (CEO)
(469) 916-6100
Entity
Organization
Contact information
Practice address
815 PEACH ST, TOMBALL, TX 77375-4745
(281) 351-5443
(281) 351-2634
Mailing address
17760 PRESTON RD, SUITE 310, DALLAS, TX 75252-5663
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113597
TX
Other
Enumeration date
09/08/2005
Last updated
08/22/2020
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