NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1447525803 |   |   |   | EAST TEXAS LTC THE WATERTON AT SHILOH LLC | 2875 SHILOH RD | TYLER | TX | 757032936 |
1679225296 |   |   |   | FANNIN COUNTY HOSPITAL AUTHORITY | 2875 SHILOH RD | TYLER | TX | 757032936 |
1871919431 |   |   |   | SOUTHWEST LTC - WATERTON LLC | 5560 TENNYSON PKWY STE 200 | PLANO | TX | 750243582 |
1982886578 |   |   |   | HSMTX WATERTON PLAZA, LLC | 5300 HOLLISTER ST | HOUSTON | TX | 770406137 |
1063991362 | BROGAN-HAAN | SARAH | COLLEEN |   | 421 S BONNER ST | JACKSONVILLE | TX | 757662330 |
1861972903 | OKON | CHRISTOPHER |   |   | 2875 SHILOH RD | TYLER | TX | 757032936 |