Healthcare Provider Details

I. General information

NPI: 1982740098
Provider Name (Legal Business Name): FRIO HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 E AIRLINE RD
VICTORIA TX
77901-4546
US

IV. Provider business mailing address

3103 E AIRLINE RD
VICTORIA TX
77901-4546
US

V. Phone/Fax

Practice location:
  • Phone: 361-575-6457
  • Fax:
Mailing address:
  • Phone:
  • 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: THOMAS GRIMERT
Title or Position: CFO
Credential:
Phone: 830-334-3617