Organization Name: | BRIM HEALTHCARE OF TEXAS LLC |
NPI Number: | 1023297082 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS D. GILBERT (HOSPITAL CEO) |
Mailing Address: | 1000 Pine St Day Surgery Unit Texarkana |
State: | TX US |
Postal Code: | 755015100 |
Phone Number: | 9037988000 |
Fax Number: | 9037987725 |
NPI Enumeration Date: | 10/26/2007 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 000144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |