Healthcare Provider Details

I. General information

NPI: 1649884313
Provider Name (Legal Business Name): SPRINGTOWN VENTURES LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 09/02/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WILLIAMS WARD RD.
SPRINGTOWN TX
76082
US

IV. Provider business mailing address

3502 ARMSTRONG AVE
DALLAS TX
75205-3921
US

V. Phone/Fax

Practice location:
  • Phone: 214-535-9857
  • Fax:
Mailing address:
  • Phone: 214-535-9857
  • Fax:

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: ROBERT CRAMER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 214-535-9857