Healthcare Provider Details
I. General information
NPI: 1467452094
Provider Name (Legal Business Name): UHS OF TRC, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2005
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 MEMORIAL DR
DENISON TX
75020-2035
US
IV. Provider business mailing address
1000 MEMORIAL DR
DENISON TX
75020-2035
US
V. Phone/Fax
- Phone: 903-416-4007
- Fax:
- Phone: 903-416-4007
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
W.
MACKEY
WATKINS
Title or Position: CEO PRESIDENT
Credential: M.D.
Phone: 903-416-1426