Mid-Tex Geriatric, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

005151 Issued in TX

Legal business name

MID-TEX GERIATRIC, INC

Practice address

108 N Baron St
Bellville, TX 77418-1303

Phone

(979) 865-3689

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Walter Steven Pawlowski

Title

Owner

Phone

(979) 865-3689

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205922671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N BARON ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181303",
            "telephone_number": "979-865-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N BARON ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181303",
            "telephone_number": "979-865-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-TEX GERIATRIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAWLOWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-865-3689"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "005151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason M Luekenga, DDS
• David Matthew Magness, MD
• Whitney Mahlmann, MS, SLP-INTERN
• Bryant Mai
• Mid-Tex Briarwood, Inc.
• Caroline Neshyba
• Performance Anesthesia Services, LLC
• Pine Medical PLLC
• PJ Associates, Inc.
• Alma Jean Quintero, R. PH.

• All providers in Bellville, TX
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.