Healthcare Provider Details

I. General information

NPI: 1164138723
Provider Name (Legal Business Name): WEST WHARTON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HUGULEY BLVD
BURLESON TX
76028-7506
US

IV. Provider business mailing address

301 HUGULEY BLVD
BURLESON TX
76028-7506
US

V. Phone/Fax

Practice location:
  • Phone: 817-551-5900
  • Fax: 817-293-2380
Mailing address:
  • Phone: 817-551-5900
  • Fax: 817-293-2380

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: DAVID H MAK
Title or Position: CFO
Credential:
Phone: 713-569-7370