Healthcare Provider Details

I. General information

NPI: 1588650295
Provider Name (Legal Business Name): LAREDO REGIONAL MEDICAL CENTER L P
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 MCPHERSON RD
LAREDO TX
78045-6268
US

IV. Provider business mailing address

10700 MCPHERSON RD
LAREDO TX
78045-6268
US

V. Phone/Fax

Practice location:
  • Phone: 956-523-2000
  • Fax:
Mailing address:
  • Phone: 956-523-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number301
License Number StateTX

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO, SENIOR VP
Credential:
Phone: 610-768-3300