Healthcare Provider Details

I. General information

NPI: 1326140781
Provider Name (Legal Business Name): SEARS METHODIST CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VILLAGE DR STE 400
ABILENE TX
79606-8232
US

IV. Provider business mailing address

1 VILLAGE DR STE 400
ABILENE TX
79606-8232
US

V. Phone/Fax

Practice location:
  • Phone: 325-691-5519
  • Fax: 325-698-4582
Mailing address:
  • Phone: 325-691-5519
  • Fax: 325-698-4582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RANDALL CROSSWHITE
Title or Position: VP CONTROLLER ASST. CFO
Credential: CPA
Phone: 325-691-5519