1013257799 NPI number — PECAN VALLEY MHMR REGION

Table of content: (NPI 1013257799)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013257799 NPI number — PECAN VALLEY MHMR REGION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PECAN VALLEY MHMR REGION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PECAN VALLEY CENTERS FOR BEHAVIORAL AND DEVELOPMENTAL HEALTHCARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013257799
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 729
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRANBURY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76048-0729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-579-4400
Provider Business Mailing Address Fax Number:
817-579-4407

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2101 W. PEARL ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRANBURY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-579-4400
Provider Business Practice Location Address Fax Number:
817-579-4407
Provider Enumeration Date:
02/18/2013

Additional Information

Authorized Official

Authorized Official Last Name:
BEATTY
Authorized Official First Name:
COKE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
817-579-4400

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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