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NPI Code Detail

MEDICARE: SUGAR LAND GARDENS

MEDICARE: SUGAR LAND GARDENS
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 FacilityTX

General Provider Information

NPI Number : 1265790497
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUGAR LAND GARDENS
Provider Business Mailing Address
First Line : 4422 RIVERSTONE BLVD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7150
Country : US
Telephone Number : 601-624-6487
Fax Number : 601-709-0832
Provider Business Practice Location Address
First Line : 4422 RIVERSTONE BLVD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7150
Country : US
Telephone Number : 601-624-6487
Fax Number : 601-709-0832
Authorized Official
Title or Position : OPERATOR
Name : MR. ROBERT D STIGLER JR.
Credential :
Telephone Number : 281-499-5040
Provider Enumeration Date : 04/25/2012
Last Update Date : 10/18/2012

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Directions to “SUGAR LAND GARDENS ” Practice Location

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