Provider Demographics
NPI:1528538154
Name:LAREDO OPERATOR 2 LTD.
Entity Type:Organization
Organization Name:LAREDO OPERATOR 2 LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STUDER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-828-5686
Mailing Address - Street 1:250 W. NOTTINGHAM SUITE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-828-5686
Mailing Address - Fax:
Practice Address - Street 1:4301 NORTH BARTLETT AVENUE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:210-828-5686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility