Provider Demographics
NPI:1356722052
Name:MHS OF TEXAS II, INC.
Entity type:Organization
Organization Name:MHS OF TEXAS II, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:972-978-7946
Mailing Address - Street 1:PO BOX 1035
Mailing Address - Street 2:
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76098-1035
Mailing Address - Country:US
Mailing Address - Phone:817-270-2747
Mailing Address - Fax:817-270-1477
Practice Address - Street 1:301 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-2438
Practice Address - Country:US
Practice Address - Phone:817-270-2747
Practice Address - Fax:817-270-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness