Mid-Tex Briarwood, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

004648 Issued in TX

Legal business name

MID-TEX BRIARWOOD, INC.

Practice address

1515 W Main St
Bellville, TX 77418-9737

Phone

(979) 865-3145

Fax

(979) 865-9963

NPI assigned

Oct 18, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Allyson Pawlowski

Title

Owner

Phone

(979) 865-3145

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1144301060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W MAIN ST",
            "address_2": "P.O. BOX 202",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774189737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W MAIN ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774189737",
            "telephone_number": "979-865-3145",
            "fax_number": "979-865-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-TEX BRIARWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "PAWLOWSKI",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-865-3145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "004648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER",
            "identifier": "4648",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Bellville, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.