Pmg Opco-Lewisville LLC
NPI #1992561260 in Lewisville, Texas
Provider Information
- NPI Number
- 1992561260
- Entity Type
- Organization
- Organization Name
- Pmg Opco-Lewisville LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 26, 2024
- Last Updated
- Feb 26, 2024
Practice Location
- Address
- 700 E VISTA RIDGE MALL DR
- City
- Lewisville
- State
- Texas
- ZIP Code
- 75067-8339
- Phone
- (972) 906-9789
Authorized Official
- Name
- WILLIAM BAUDER
- Title
- MANAGING PARTNER
- Phone
- (972) 428-0880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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