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General NPI Number Information
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NPI Number | 1376754028
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Entity Type | Organization
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Legal Business Name | BRAZOS PRESBYTERIAN HOMES INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 4718 HALLMARK DR
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City | HOUSTON
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State | TX
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Zip | 77056-3954
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Country | US
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Telephone | 713-662-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 4718 HALLMARK DR
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City | HOUSTON
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State | TX
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Zip | 77056-3954
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Country | US
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Telephone | 713-662-6633
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHERYL CALLAHAN
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Credential |
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Telephone | 713-666-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 117709
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License Number State | TX
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