Mason Georgetown Op LLC
NPI #1285934232 in Georgetown, Texas
Provider Information
- NPI Number
- 1285934232
- Entity Type
- Organization
- Organization Name
- Mason Georgetown Op LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 25, 2010
- Last Updated
- Aug 2, 2012
Practice Location
- Address
- 4011 WILLIAMS DR
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-2491
- Phone
- (512) 868-2700
Authorized Official
- Name
- BRIAN R. THREADGILL
- Title
- ADMINISTRATOR
- Phone
- (512) 868-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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