Basic Information
| Provider Information | |||||||||
| NPI: | 1679916530 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW LIFECARE HOSPITALS OF SOUTH TEXAS LLC | ||||||||
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| OtherOrganizationName: | LIFECARE HOSPITALS OF SOUTH TEXAS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5340 LEGACY DR | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750243178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692412128 | ||||||||
| FaxNumber: | 4692412177 | ||||||||
| Practice Location | |||||||||
| Address1: | 2001 S M ST | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785031551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566884300 | ||||||||
| FaxNumber: | 9566884530 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2013 | ||||||||
| LastUpdateDate: | 06/19/2015 | ||||||||
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| AuthorizedOfficialLastName: | CRONIN | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT - REIMBURSEMENT | ||||||||
| AuthorizedOfficialTelephone: | 4692412128 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 00821 | TX | N | Hospitals | General Acute Care Hospital | 282E00000X | 00821 | TX | Y | Hospitals | Long Term Care Hospital |
No ID Information.