Healthcare Provider Details

I. General information

NPI: 1851799019
Provider Name (Legal Business Name): HALLMARK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2014
Last Update Date: 12/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 RILEY FUZZELL RD
SPRING TX
77386-2731
US

IV. Provider business mailing address

2007 RILEY FUZZELL RD
SPRING TX
77386-2731
US

V. Phone/Fax

Practice location:
  • Phone: 832-515-5022
  • Fax:
Mailing address:
  • Phone: 832-515-5022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number103261
License Number StateTX

VIII. Authorized Official

Name: MRS. DARLYNN GILBERT WARE
Title or Position: OCCUPATIONAL THERAPIST
Credential: MOT,OTR
Phone: 832-515-5022