Provider Demographics
NPI:1124012174
Name:PINNACLE HEALTH FACILITIES OF TEXAS VII, LP
Entity Type:Organization
Organization Name:PINNACLE HEALTH FACILITIES OF TEXAS VII, LP
Other - Org Name:HURST PLAZA NURSING & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-931-3800
Mailing Address - Street 1:5212 VILLAGE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5066
Mailing Address - Country:US
Mailing Address - Phone:972-931-3800
Mailing Address - Fax:972-931-3801
Practice Address - Street 1:215 E PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-5151
Practice Address - Country:US
Practice Address - Phone:817-282-6777
Practice Address - Fax:817-282-6149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114737314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45-5850Medicare ID - Type Unspecified