Healthcare Provider Details

I. General information

NPI: 1497708929
Provider Name (Legal Business Name): MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S BONHAM ST
MEXIA TX
76667-3603
US

IV. Provider business mailing address

330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-5098
US

V. Phone/Fax

Practice location:
  • Phone: 254-562-5332
  • Fax: 254-562-7532
Mailing address:
  • Phone: 615-920-7000
  • Fax: 615-920-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number000505
License Number StateTX

VIII. Authorized Official

Name: KATHY J. TEAGUE
Title or Position: ASSISTANT VICE PRESIDENT, SECRETARY
Credential:
Phone: 615-920-7000