Ft. Stockton
NPI #1568469872 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1568469872
- Entity Type
- Organization
- Organization Name
- Ft. Stockton
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 30, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 501 N SYCAMORE ST
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-4602
- Phone
- (432) 336-7631
Authorized Official
- Name
- JORGE L GARCIA, LNFA, MBA
- Title
- ADMINISTRATOR
- Phone
- (432) 336-7631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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