Provider Demographics
NPI:1033974258
Name:RENDEVOR - TX POST ACUTE SERVICES LLC
Entity type:Organization
Organization Name:RENDEVOR - TX POST ACUTE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF POST ACUTE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FLINDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-599-8022
Mailing Address - Street 1:1717 W 6TH ST STE 350
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4870
Mailing Address - Country:US
Mailing Address - Phone:512-599-8022
Mailing Address - Fax:
Practice Address - Street 1:11811 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3827
Practice Address - Country:US
Practice Address - Phone:512-599-8022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RENDEVOR - POST ACUTE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-16
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment