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NPI Code Detail

MEDICARE: BBV TEXAS DEVELOPMENT LLC

MEDICARE: BBV TEXAS DEVELOPMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility117116TX

General Provider Information

NPI Number : 1003843483
Entity Type Code : Organization
Provider Name (Legal Business Name) : BBV TEXAS DEVELOPMENT LLC
Provider Business Mailing Address
First Line : 8300 ELDORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-5946
Country : US
Telephone Number : 972-548-9339
Fax Number : 972-569-9330
Provider Business Practice Location Address
First Line : 8300 ELDORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-5946
Country : US
Telephone Number : 972-548-9339
Fax Number : 972-569-9330
Authorized Official
Title or Position : ADMINISTRATOR
Name : LISA SAMUELS
Credential :
Telephone Number : 972-548-9339
Provider Enumeration Date : 06/28/2006
Last Update Date : 08/22/2020

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Directions to “BBV TEXAS DEVELOPMENT LLC ” Practice Location

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