Healthcare Provider Details

I. General information

NPI: 1003628769
Provider Name (Legal Business Name): THORNHILL HEALTHCARE II, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 8TH ST
SHALLOWATER TX
79363-5726
US

IV. Provider business mailing address

600 8TH ST
SHALLOWATER TX
79363-5726
US

V. Phone/Fax

Practice location:
  • Phone: 806-832-0300
  • Fax: 806-832-0301
Mailing address:
  • Phone: 806-832-0300
  • Fax: 806-832-0301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LACEY THORNHILL
Title or Position: PRESIDENT
Credential:
Phone: 806-832-0300