Healthcare Provider Details

I. General information

NPI: 1073587275
Provider Name (Legal Business Name): TEAGUE MANAGEMENT COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 N SHERMAN ST
MEXIA TX
76667-2343
US

IV. Provider business mailing address

507 N SHERMAN ST
MEXIA TX
76667-2343
US

V. Phone/Fax

Practice location:
  • Phone: 254-562-3999
  • Fax: 254-562-3099
Mailing address:
  • Phone: 254-562-3999
  • Fax: 254-562-3099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHELSIA TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 254-562-3999