<Unavail>

LBN: Mason Georgetown Op Llc
<Unavail> is an health care organization with primary practice located at 4011 Williams Dr , Georgetown TX 78628-2491. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mason Georgetown Op Llc can be contacted via phone (512) 868-2700, or through Threadgill, Brian R. via phone (512) 868-2700.

Contact Information

Primary practice address
4011 Williams Dr Georgetown TX 78628-2491
Phone: (512) 868-2700
Fax: (512) 868-2999
Website:
Map and Directions
Authorized official contact:
Name: Threadgill, Brian R.
Phone: (512) 868-2700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 134293 Texas

Profile Details

NPI number 1285934232
LBN Legal business name Mason Georgetown Op Llc
DBA Doing business as <Unavail>
Authorized official Threadgill, Brian R.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2010
Last updated Aug 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285934232 NPPES
Texas Other 104710 FACILITY ID
Texas MEDICAID 001019243 FACILITY ID

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