Provider Demographics
NPI:1750725669
Name:FAITH MINISTRIES OF TEXAS, INC.
Entity type:Organization
Organization Name:FAITH MINISTRIES OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEMETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:469-774-3053
Mailing Address - Street 1:8035 E R L THORNTON FWY
Mailing Address - Street 2:SUITE 615
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:469-774-3053
Mailing Address - Fax:180-038-1214
Practice Address - Street 1:8035 E R L THORNTON FWY
Practice Address - Street 2:SUITE 615
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:469-774-3053
Practice Address - Fax:180-038-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310500000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness