HSMTX/STALLONES-TOMBALL, LLC
Assisted Living Facility
Tomball, Texas
Provider NPI: 1184726945
Organization Information:Organization Name: HSMTX/STALLONES-TOMBALL, LLC
Practice Location:
13415 MEDICAL COMPLEX DR TOMBALL, TX 77375 US
Tel: 281-357-4843 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
13415 MEDICAL COMPLEX DR TOMBALL, TX 77375 US
Tel: 281-357-4843 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | TX | 116122 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
VENDOR/FACILITY ID | 000638 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin