| Organization Name: | VIBRA HOSPITAL OF LAKE TRAVIS LLC |
| NPI Number: | 1194137364 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD E HOLLINGER (PRESIDENT) |
| Mailing Address: | 2000 Medical Drive Lakeway |
| State: | TX US |
| Postal Code: | 787344200 |
| Phone Number: | 5122634500 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2014 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |