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NPI Code Detail

MEDICARE: SPRING BRANCH SNF LLC

MEDICARE: SPRING BRANCH SNF LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityTX

General Provider Information

NPI Number : 1093001984
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING BRANCH SNF LLC
Provider Business Mailing Address
First Line : 3119 QUENTIN RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4234
Country : US
Telephone Number : 718-382-1313
Fax Number :
Provider Business Practice Location Address
First Line : 1615 HILLENDAHL BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-3413
Country : US
Telephone Number : 713-365-0561
Fax Number :
Authorized Official
Title or Position : BOM
Name : MARY SILBER
Credential :
Telephone Number : 718-382-1313
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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Directions to “SPRING BRANCH SNF LLC ” Practice Location

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