Twin Pines Nursing & Rehabiliatation Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110912 Issued in TX

Legal business name

TWIN PINES NURSING & REHABILIATATION INC.

Practice address

3301 E Mockingbird LN
Victoria, TX 77904-2437

Phone

(361) 573-3201

Fax

(361) 485-9916

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Byron Burris II, LNFA

Title

President

Phone

(361) 576-9454

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Twin Pines Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1376540377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7230",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779037230",
            "telephone_number": "361-576-9454",
            "fax_number": "361-576-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E MOCKINGBIRD LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042437",
            "telephone_number": "361-573-3201",
            "fax_number": "361-485-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PINES NURSING & REHABILIATATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-576-9454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4975",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012474",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094556003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Pines Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Tullos, M.D.
• Faye Nicole Tupa, O.D.
• Irene Lorraine Turner, M.A.,LPC-S
• Leana Le Turner, RN-FNP
• Twin Fountains Urgent Care Center
• TX Southern Dental PPO PC
• U S Allergy Labs, LLC
• Ucg Central Texas Holdings LLC
• Ucg Central Texas Holdings LLC
• Ginger Unegbu, DDS

• Skilled Nursing Facility in Victoria, TX
• Providers in Victoria, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.