Healthcare Provider Details

I. General information

NPI: 1679117154
Provider Name (Legal Business Name): EASTLAND MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 LAKEVIEW PKWY
ROWLETT TX
75088-4476
US

IV. Provider business mailing address

9300 LAKEVIEW PKWY
ROWLETT TX
75088-4476
US

V. Phone/Fax

Practice location:
  • Phone: 972-475-4700
  • Fax: 972-412-2122
Mailing address:
  • Phone: 972-475-4700
  • Fax: 972-412-2122

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: LABAN JOSEPH WRIGHT
Title or Position: CEO
Credential:
Phone: 325-754-1317