Healthcare Provider Details

I. General information

NPI: 1740874551
Provider Name (Legal Business Name): MAVERICK COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4713 BUSINESS 181 N
BEEVILLE TX
78102-8455
US

IV. Provider business mailing address

4713 BUSINESS 181 N
BEEVILLE TX
78102-8455
US

V. Phone/Fax

Practice location:
  • Phone: 361-358-5612
  • Fax:
Mailing address:
  • Phone: 361-358-5612
  • Fax:

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: ALMA MARTINEZ
Title or Position: CEO
Credential:
Phone: 830-757-4939