Basic Information
Provider Information
NPI: 1396137840
EntityType: 2
ReplacementNPI:  
OrganizationName: TEXAS RURAL HOSPITALS,LLC
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Mailing Information
Address1: 6225 FM 2920 RD
Address2: STE 150
City: SPRING
State: TX
PostalCode: 773793474
CountryCode: US
TelephoneNumber: 2812570404
FaxNumber: 2816054563
Practice Location
Address1: 6225 FM 2920 RD
Address2: STE 150
City: SPRING
State: TX
PostalCode: 773793474
CountryCode: US
TelephoneNumber: 2812570404
FaxNumber: 2816054563
Other Information
ProviderEnumerationDate: 02/20/2015
LastUpdateDate: 05/01/2019
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AuthorizedOfficialLastName: MOPARTY
AuthorizedOfficialFirstName: SUHASINI
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AuthorizedOfficialTitleorPosition: MANAGER
AuthorizedOfficialTelephone: 2812570404
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  N HospitalsGeneral Acute Care Hospital 
282NR1301X  Y HospitalsGeneral Acute Care HospitalRural

No ID Information.


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