Provider Demographics
NPI:1851799019
Name:HALLMARK
Entity Type:Organization
Organization Name:HALLMARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLYNN
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:MOT,OTR
Authorized Official - Phone:832-515-5022
Mailing Address - Street 1:2007 RILEY FUZZELL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2731
Mailing Address - Country:US
Mailing Address - Phone:832-515-5022
Mailing Address - Fax:
Practice Address - Street 1:2007 RILEY FUZZELL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2731
Practice Address - Country:US
Practice Address - Phone:832-515-5022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103261314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility