Thi of Texas at Mimosa, LLC

NPI #1942397138 in Keller, Texas

Provider Information

NPI Number
1942397138
Entity Type
Organization
Organization Name
Thi of Texas at Mimosa, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 7, 2006
Last Updated
Nov 19, 2007

Practice Location

Address
459 KELLER PKWY
City
Keller
State
Texas
ZIP Code
76248-2302
Phone
(817) 431-2518

Authorized Official

Name
DAVID KREUZER
Title
PRESIDENT
Phone
(817) 431-2518

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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