Healthcare Provider Details

I. General information

NPI: 1881691970
Provider Name (Legal Business Name): TEXAN NURSING AND REHAB OF WACO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 CLOVER LN
WACO TX
76710-2809
US

IV. Provider business mailing address

1919 OAKWELL FARMS PKWY SUITE 255
SAN ANTONIO TX
78218-1777
US

V. Phone/Fax

Practice location:
  • Phone: 254-772-0610
  • Fax: 254-772-6782
Mailing address:
  • Phone: 210-572-0701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number110246
License Number StateTX

VIII. Authorized Official

Name: JEFF REEH
Title or Position: PRESIDENT
Credential:
Phone: 210-572-0701