Healthcare Provider Details

I. General information

NPI: 1891768628
Provider Name (Legal Business Name): LAREDO TEXAS HOSPITAL COMPANY, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E SAUNDERS ST
LAREDO TX
78041-5401
US

IV. Provider business mailing address

PO BOX 849076
DALLAS TX
75284-9076
US

V. Phone/Fax

Practice location:
  • Phone: 956-796-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number000207
License Number StateTX

VIII. Authorized Official

Name: PAULA M LALOR
Title or Position: DIRECTOR/DELEGATED OFFICIAL
Credential:
Phone: 629-215-3953