Healthcare Provider Details

I. General information

NPI: 1821554890
Provider Name (Legal Business Name): FRIO HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 COTTONWOOD CREEK TRL
CEDAR PARK TX
78613-7555
US

IV. Provider business mailing address

200 S IH 35
PEARSALL TX
78061-6601
US

V. Phone/Fax

Practice location:
  • Phone: 512-259-4259
  • Fax:
Mailing address:
  • Phone:
  • 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: THOMAS GRIMERT
Title or Position: CFO
Credential:
Phone: 830-334-3617