Healthcare Provider Details

I. General information

NPI: 1275652604
Provider Name (Legal Business Name): CASCADE-TARRANT HEALTH SERVICES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 MATLOCK RD
ARLINGTON TX
76002-3346
US

IV. Provider business mailing address

7100 MATLOCK RD
ARLINGTON TX
76002-3346
US

V. Phone/Fax

Practice location:
  • Phone: 936-634-6633
  • Fax: 936-634-6613
Mailing address:
  • Phone: 936-634-6633
  • Fax: 936-634-6613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD M HANEY
Title or Position: PARTNER
Credential:
Phone: 936-634-6633