Bridgeport Essential Practices, LLC
Organization Active NPI Pediatric Skilled Nursing Facility · Bridgeport, TX
NPI 1285803148 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1285803148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Skilled Nursing Facility 3140N1450X
- License
- 004054 (TX)
- Legal business name
- BRIDGEPORT ESSENTIAL PRACTICES, LLC
- Practice address
- 102 W Cates St
Bridgeport, TX 76426-2709 - Phone
- (940) 683-5183
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Raymond J. Watt
- Title
- Operating Manager
- Phone
- (731) 267-2861
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 004054 | TX | Yes |
Addresses
Primary practice location
102 W Cates St
Bridgeport, TX 76426-2709
Mailing address
102 W Cates St
Bridgeport, TX 76426-2709
Phone (940) 683-5183
Other names
- Bridgeport Health Care Center
Other providers in Bridgeport, TX
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- Dawn Denise Blevins
- Bridgeport Ambulatory Surgery Center
- Bridgeport Care Center, Inc
- Bridgeport Emergency Medicine Associates PA
- Bridgeport Isd
- Laurie Briggle
- Brookshire Grocery Company
- Elva Alejandro Camero
- Jon Wayne Copeland
All providers in Bridgeport, TX · Pediatric Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.