Arthur L Mayshack

Individual provider Active NPI Nursing Home Administrator · La Marque, TX

NPI 1043081706 · NPPES record last updated Jan 11, 2024

Key facts

NPI
1043081706
Entity type
Individual (NPI type 1)
Primary specialty
Nursing Home Administrator 376G00000X
Practice address
689 Forest Bend LN
La Marque, TX 77568-1599
Phone
(832) 367-5156
NPI assigned
Jan 11, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator
Group: 193400000X SINGLE SPECIALTY GROUP
376G00000X Yes

Addresses

Primary practice location

689 Forest Bend LN
La Marque, TX 77568-1599

Mailing address

689 Forest Bend LN
La Marque, TX 77568-1599
Phone (832) 367-5156

Other providers in La Marque, TX

All providers in La Marque, TX · Nursing Home Administrator in Texas

Sources for this page

Verify at the official NPI Registry.