Healthcare Provider Details

I. General information

NPI: 1639176175
Provider Name (Legal Business Name): TEXAN NURSING & REHAB OF AMARILLO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4033 W 51ST AVE
AMARILLO TX
79109-6129
US

IV. Provider business mailing address

1919 OAKWELL FARMS PKWY SUITE 255
SAN ANTONIO TX
78218-1777
US

V. Phone/Fax

Practice location:
  • Phone: 806-355-4488
  • Fax: 806-353-0885
Mailing address:
  • Phone: 210-572-0701
  • Fax: 210-572-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number111068
License Number StateTX

VIII. Authorized Official

Name: JEFF REEH
Title or Position: VICE PRESIDENT
Credential:
Phone: 210-572-0701