Provider Demographics
NPI:1407440316
Name:MAVERICK COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MAVERICK COUNTY HOSPITAL DISTRICT
Other - Org Name:HURST PLAZA NURSING AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-757-4939
Mailing Address - Street 1:215 E PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-5151
Mailing Address - Country:US
Mailing Address - Phone:817-282-6777
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility