Provider Demographics
NPI:1326140781
Name:SEARS METHODIST CENTERS INC
Entity Type:Organization
Organization Name:SEARS METHODIST CENTERS INC
Other - Org Name:SOUTHWEST THERAPY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP CONTROLLER ASST. CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSSWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:325-691-5519
Mailing Address - Street 1:1 VILLAGE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8232
Mailing Address - Country:US
Mailing Address - Phone:325-691-5519
Mailing Address - Fax:325-698-4582
Practice Address - Street 1:1 VILLAGE DR STE 400
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-8232
Practice Address - Country:US
Practice Address - Phone:325-691-5519
Practice Address - Fax:325-698-4582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy