Healthcare Provider Details

I. General information

NPI: 1407993991
Provider Name (Legal Business Name): LIVING CENTERS OF TEXAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 STONEYBROOK DR
HOUSTON TX
77063-4611
US

IV. Provider business mailing address

2808 STONEYBROOK DR
HOUSTON TX
77063-4611
US

V. Phone/Fax

Practice location:
  • Phone: 713-782-4355
  • Fax: 713-782-5429
Mailing address:
  • Phone: 713-782-4355
  • Fax: 713-782-5429

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: DEVIN EHRLICH
Title or Position: EVP
Credential:
Phone: 800-929-4762