Organization
STATE OF TEXAS VETERANS LAND BOARD
Active
Other names
Clyde W Cosper Texas State Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY E PATTERSON (CHAIRMAN TEXAS VETERANS LAND BOARD)
(512) 475-2336
Entity
Organization
Contact information
Practice address
1300 SEVEN OAKS RD, BONHAM, TX 75418-3254
(903) 640-8387
(903) 640-4281
Mailing address
1700 NORTH CONGRESS AVENUE, RM 810, AUSTIN, TX 78701-1496
(512) 936-6929
(512) 475-2294
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100534
TX
314000000X
Skilled Nursing Facility
100534
—
314000000X
Skilled Nursing Facility
67-5857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003135
—
TX
Enumeration date
07/28/2005
Last updated
06/01/2010
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