MEDICARE: MARINE CREEK NURSING AND REHABILITATION LP

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
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	163345501	OTHER	TX	TMHP (CROSSOVER)
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871589648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARINE CREEK NURSING AND REHABILITATION LP

Provider Business Mailing Address
First Line	:	419 S ELM ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-6085
Country	:	US
Telephone Number	:	940-387-4388
Fax Number	:	940-380-2410

Provider Business Practice Location Address
First Line	:	3600 ANGLE AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76106-3559
Country	:	US
Telephone Number	:	817-624-6164
Fax Number	:	817-624-7523

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAN D. FLAGG
Credential	:
Telephone Number	:	940-387-4388

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	01/30/2019

Similar Medicare Providers

1720568819 — TRAVIS ODELL RUSSELL JR. PTA
Practice Location Address:

3600 ANGLE AVE
FORT WORTH, TX
76106-3559

Practice Phone: 817-624-6164
Practice Fax:

1427693688 — ERICA DANIELS
Practice Location Address:

3600 ANGLE AVE
FORT WORTH, TX
76106-3559

Practice Phone: 817-624-6164
Practice Fax:

1558966317 — WEST WHARTON COUNTY HOSPITAL DISTRICT
Practice Location Address:

3600 ANGLE AVENUE
FORT WORTH, TX
76106-3559

Practice Phone: 817-624-6164
Practice Fax: 817-624-7523

1487611471 — DR. HECTOR MANUEL LOPEZ MD
Practice Location Address:

5450 CLEARFORK MAIN ST STE 300
FORT WORTH, TX
76109-3559

Practice Phone: 817-334-1400
Practice Fax:

1356308571 — DR. DOUGLAS DAVID LORIMER M.D.
Practice Location Address:

5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX
76109-3559

Practice Phone: 817-334-1465
Practice Fax: 817-422-0857

1700833704 — DR. JOHN ANDREW PUMPHREY M.D.
Practice Location Address:

5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX
76109-3559

Practice Phone: 817-784-8268
Practice Fax: 817-346-6173

Directions to “MARINE CREEK NURSING AND REHABILITATION LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.