Bridgeport Essential Practices, LLC
NPI #1285803148 in Bridgeport, Texas
Provider Information
- NPI Number
- 1285803148
- Entity Type
- Organization
- Organization Name
- Bridgeport Essential Practices, LLC
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Feb 25, 2008
- Last Updated
- Feb 25, 2008
Practice Location
- Address
- 102 W CATES ST
- City
- Bridgeport
- State
- Texas
- ZIP Code
- 76426-2709
- Phone
- (940) 683-5183
Authorized Official
- Name
- MR. RAYMOND J. WATT
- Title
- OPERATING MANAGER
- Phone
- (731) 267-2861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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