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License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ABILENE REGIONAL MEDICAL
CENTER
000091 32542810106250 HIGHWAY 83-84 08/31/2020 01/04/1968 01/04/1968 09/01/2002 Current
ABILENE, TX 79606
ACCEL REHABILITATION HOSPITAL
OF PLANO
100174 97289955102301 MARSH LANE SUITE 200 11/30/2020 11/29/2012 11/29/2012 03/16/2015 Current
PLANO, TX 75093
AD HOSPITAL EAST LLC100344 713330388712950 EAST FREEWAY SUITE 100 01/31/2022 01/21/2016 01/21/2016 10/22/2019 Current
HOUSTON, TX 77015
ADVENTHEALTH BEHAVIORAL
HEALTH CENTER
000397 25451983282407 SOUTH CLEAR CREEK ROAD 09/30/2020 09/01/1992 09/01/1992 09/01/1992 Current
KILLEEN, TX 76549
ADVENTHEALTH CENTRAL TEXAS000397 25451981652201 SOUTH CLEAR CREEK ROAD 09/30/2020 01/01/1960 01/01/1960 12/28/2018 Current
KILLEEN, TX 76549
ADVENTHEALTH ROLLINS BROOK007209 5125563682608 NORTH KEY AVENUE 08/31/2020 08/18/2000 08/18/2000 01/10/2019 Current
LAMPASAS, TX 76550
ALTUS BAYTOWN HOSPITAL,
BAYTOWN MEDICAL CENTER
100254 28183776001626 W BAKER RD 04/30/2022 04/09/2014 04/09/2014 11/26/2018 Current
BAYTOWN, TX 77521
ALTUS HOUSTON HOSPITAL,
CELESTIAL HOSPITAL, ODYSSEY
HOSPITAL
100407 71377305566011 W SAM HOUSTON PKWY
SOUTH
11/30/2021 11/03/2017 11/03/2017 11/03/2017 Current
HOUSTON, TX 77072
ANSON GENERAL HOSPITAL100346 3258233231101 AVENUE J 03/31/2022 04/01/2016 04/01/2016 04/01/2016 Current
ANSON, TX 79501
ARISE AUSTIN MEDICAL CENTER100216 51231438003003 BEE CAVE ROAD 06/30/2021 06/30/2013 06/30/2013 06/28/2019 Current
AUSTIN, TX 78746
ASCENSION PROVIDENCE000040 25475140006901 MEDICAL PARKWAY 03/31/2021 01/01/1960 01/01/1960 03/01/2019 Current
WACO, TX 76712
ASCENSION PROVIDENCE DEPAUL
CENTER
000040 2547765970301 LONDONDERRY DRIVE 03/31/2021 07/01/2010 07/01/2010 07/01/2010 Current
WACO, TX 76712
ASCENSION SETON BASTROP100497 7378817400630 W SH 71 11/30/2021 11/25/2019 11/25/2019 11/25/2019 Current
BASTROP, TX 78602
ASCENSION SETON EDGAR B DAVIS000597 8308757000130 HAYS STREET 01/31/2022 01/14/1966 01/14/1966 04/01/2019 Current
LULING, TX 78648
ASCENSION SETON HAYS100029 51250450586001 KYLE PARKWAY 08/31/2021 08/19/2009 08/19/2009 09/13/2019 Current
Page 1 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
KYLE, TX 78640
ASCENSION SETON HIGHLAND
LAKES
000559 51271530003201 SOUTH WATER STREET 01/31/2022 02/13/1960 02/13/1960 04/01/2019 Current
BURNET, TX 78611
ASCENSION SETON MEDICAL
CENTER AUSTIN
000497 51232410001201 WEST 38TH STREET 03/31/2022 01/18/1960 01/18/1960 04/10/2019 Current
AUSTIN, TX 78705
ASCENSION SETON NORTHWEST007976 512324690011113 RESEARCH BOULEVARD 06/30/2021 07/01/2003 07/01/2003 04/01/2019 Current
AUSTIN, TX 78759
ASCENSION SETON SMITHVILLE100103 51223732141201 HILL ROAD 06/30/2021 06/27/2011 07/26/2011 04/01/2019 Current
SMITHVILLE, TX 78957
ASCENSION SETON SOUTHWEST007975 51232490007900 FM 1826 06/30/2022 07/01/2003 07/01/2003 05/14/2020 Current
AUSTIN, TX 78737
ASCENSION SETON WILLIAMSON008617 5123244000201 SETON PARKWAY 01/31/2022 01/15/2008 01/15/2008 04/01/2019 Current
ROUND ROCK, TX 78665
ASPIRE HOSPITAL LLC100173 93664735002006 SOUTH LOOP 336 WEST SUITE
500
11/30/2020 11/16/2012 11/16/2012 12/06/2018 Current
CONROE, TX 77304
ATRIUM MEDICAL CENTER100026 281207820011929 WEST AIRPORT BOULEVARD 12/31/2020 12/31/2008 12/31/2008 12/27/2010 Current
STAFFORD, TX 77477
BALLINGER MEMORIAL HOSPITAL
DISTRICT
000234 3253652531608 AVENUE B 01/31/2021 12/01/1962 12/01/1962 01/04/2011 Current
BALLINGER, TX 76821
BAPTIST EMERGENCY HOSPITAL100116 210571840016977 I-35 NORTH 11/30/2021 04/03/2013 04/03/2013 10/23/2019 Current
SCHERTZ, TX 78154
BAPTIST EMERGENCY HOSPITAL100116 210572291125615 NORTH US HIGHWAY 281 11/30/2021 12/14/2012 12/14/2012 10/23/2019 Current
SAN ANTONIO, TX 78258
BAPTIST EMERGENCY HOSPITAL100116 21057229557719 IH 35 SOUTH 11/30/2021 10/31/2016 10/31/2016 10/31/2016 Current
SAN ANTONIO, TX 78224
BAPTIST EMERGENCY HOSPITAL100116 21057288858230 NORTH 1604 WEST 11/30/2021 02/13/2013 02/13/2013 10/23/2019 Current
SAN ANTONIO, TX 78249
BAPTIST EMERGENCY HOSPITAL100116 210402409216088 SAN PEDRO 11/30/2021 11/28/2011 11/28/2011 01/09/2020 Current
SAN ANTONIO, TX 78232
BAPTIST EMERGENCY HOSPITAL100116 210572091110811 TOWN CENTER DRIVE 11/30/2021 10/17/2012 10/17/2012 10/23/2019 Current
SAN ANTONIO, TX 78251
Page 2 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
BAPTIST EMERGENCY HOSPITAL
(KELLY)
100116 7268002040806 CUPPLES ROAD 11/30/2021 01/09/2020 01/09/2020 01/09/2020 Current
SAN ANTONIO, TX 78237
BAPTIST HOSPITALS OF SOUTHEAST
TEXAS
000389 40921250003080 COLLEGE STREET 01/31/2022 10/01/1999 10/01/1999 01/03/2020 Current
BEAUMONT, TX 77701
BAPTIST HOSPITALS OF SOUTHEAST
TEXAS FANNIN BEHAVIORAL
CENTER
000389 40921270003250 FANNIN 01/31/2022 10/01/1999 10/01/1999 09/21/2004 Current
BEAUMONT, TX 77701
BAPTIST MEDICAL CENTER000114 2102977600111 DALLAS STREET 12/31/2020 03/23/1960 03/23/1960 08/19/2019 Current
SAN ANTONIO, TX 78205
BAPTIST ST ANTHONYS HOSPITAL100187 80621220001600 WALLACE BLVD 01/31/2021 01/01/2013 01/01/2013 01/01/2013 Current
AMARILLO, TX 79106
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL MANSFIELD
100258 21429463001776 NORTH US 287 SUITE 100 05/31/2022 07/09/2014 07/09/2014 07/09/2014 Current
MANSFIELD, TX 76063
BAYLOR SCOTT & WHITE ALL
SAINTS MEDICAL CENTER - FORT
WORTH
000363 81792625441400 EIGHTH AVENUE 03/31/2022 01/01/1960 01/01/1960 05/18/2017 Current
FORT WORTH, TX 76104
BAYLOR SCOTT & WHITE
CONTINUING CARE HOSPITAL
008503 2542150900546 NORTH KEGLEY ROAD 04/30/2021 04/23/2007 04/23/2007 07/18/2017 Current
TEMPLE, TX 76502
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL AUBREY
008732 972347252526791 HIGHWAY 380 12/31/2020 12/15/2008 12/15/2008 12/13/2018 Current
AUBREY, TX 76227
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL BURLESON
100258 214294625012500 SOUTH FREEWAY SUITE 100 05/31/2022 05/14/2014 05/14/2014 09/24/2018 Current
BURLESON, TX 76028
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL
COLLEYVILLE
008732 21429463505500 COLLEYVILLE BOULEVARD 12/31/2020 07/22/2014 07/22/2014 12/13/2018 Current
COLLEYVILLE, TX 76034
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL GRAND
PRAIRIE
100258 97285400093095 KINGSWOOD BOULEVARD
SUITE 100
05/31/2022 10/06/2017 10/06/2017 10/06/2017 Current
Page 3 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
GRAND PRAIRIE, TX 75052
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL KELLER
008732 2142946100620 SOUTH MAIN SUITE 100 12/31/2020 12/16/2013 12/16/2013 12/13/2018 Current
KELLER, TX 76248
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL MURPHY
008732 2142946150511 FM 544 SUITE 100 12/31/2020 01/09/2014 01/09/2014 12/13/2018 Current
MURPHY, TX 75094
BAYLOR SCOTT & WHITE
EMERGENCY HOSPITAL ROCKWALL
008732 21429462001975 ALPHA SUITE 100 12/31/2020 04/10/2018 04/10/2018 04/10/2018 Current
ROCKWALL, TX 75087
BAYLOR SCOTT & WHITE
EMERGENCY MEDICAL CENTER -
CEDAR PARK
008526 5126844000900 E WHITESTONE BLVD 07/31/2021 07/01/2019 07/01/2019 07/01/2019 Current
CEDAR PARK, TX 78613
BAYLOR SCOTT & WHITE HEART
AND VASCULAR HOSPITAL - DALLAS
007844 2148200600621 NORTH HALL STREET 04/30/2021 04/19/2002 04/19/2002 05/16/2019 Current
DALLAS, TX 75226
BAYLOR SCOTT & WHITE
INSTITUTE FOR REHABILITATION
100092 2148209300909 NORTH WASHINGTON AVENUE 03/31/2021 03/01/2011 03/01/2011 01/11/2018 Current
DALLAS, TX 75246
BAYLOR SCOTT & WHITE
INSTITUTE FOR REHABILITATION -
FORT WORTH
008738 81743396006601 HARRIS PARKWAY 12/31/2020 12/19/2008 12/19/2008 01/11/2018 Current
FORT WORTH, TX 76132
BAYLOR SCOTT & WHITE
INSTITUTE FOR REHABILITATION -
FRISCO
100093 46988851002990 LEGACY DRIVE 03/31/2021 03/23/2011 03/23/2011 01/11/2018 Current
FRISCO, TX 75034
BAYLOR SCOTT & WHITE
INSTITUTE FOR REHABILITATION -
LAKEWAY
100438 51226345002000 MEDICAL DRIVE 06/30/2022 06/26/2018 06/26/2018 06/26/2018 Current
LAKEWAY, TX 78734
BAYLOR SCOTT & WHITE MCLANE
CHILDRENS MEDICAL CENTER
000537 25477186001901 SW H.K. DODGEN LOOP 03/31/2022 09/23/2011 09/23/2011 03/23/2020 Current
TEMPLE, TX 76502
BAYLOR SCOTT & WHITE MEDICAL
CENTER - AUSTIN
100506 51265421005245 W HIGHWAY 290 01/31/2022 01/10/2020 01/10/2020 01/10/2020 Current
Page 4 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
AUSTIN, TX 78735
BAYLOR SCOTT & WHITE MEDICAL
CENTER - BRENHAM
100098 9793375000700 MEDICAL PARKWAY 06/30/2020 07/01/2010 07/01/2010 12/11/2015 Current
BRENHAM, TX 77833
BAYLOR SCOTT & WHITE MEDICAL
CENTER - BUDA
100476 73799962005330 OVERPASS ROAD SUITE 110 08/31/2021 08/29/2019 08/29/2019 08/29/2019 Current
BUDA, TX 78610
BAYLOR SCOTT & WHITE MEDICAL
CENTER - CENTENNIAL
100421 469764914312505 LEBANON ROAD 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
FRISCO, TX 75035
BAYLOR SCOTT & WHITE MEDICAL
CENTER - COLLEGE STATION
100206 9792070100700 SCOTT & WHITE DRIVE 07/31/2021 07/12/2013 07/12/2013 02/12/2020 Current
COLLEGE STATION, TX 77845
BAYLOR SCOTT & WHITE MEDICAL
CENTER - FRISCO
007874 21440750005601 WARREN PARKWAY 08/31/2021 08/29/2002 08/29/2002 02/25/2016 Current
FRISCO, TX 75034
BAYLOR SCOTT & WHITE MEDICAL
CENTER - GRAPEVINE
000513 81748115881650 WEST COLLEGE STREET 08/31/2020 10/20/1967 10/20/1967 04/25/2016 Current
GRAPEVINE, TX 76051
BAYLOR SCOTT & WHITE MEDICAL
CENTER - HILLCREST
000506 2542029414100 HILLCREST MEDICAL BLVD 02/28/2021 04/07/2009 04/07/2009 02/09/2017 Current
WACO, TX 76712
BAYLOR SCOTT & WHITE MEDICAL
CENTER - IRVING
000300 97257954091901 NORTH MACARTHUR
BOULEVARD
07/31/2021 11/15/1964 11/15/1964 07/26/2019 Current
IRVING, TX 75061
BAYLOR SCOTT & WHITE MEDICAL
CENTER - LAKE POINTE
008618 97252080006800 SCENIC DRIVE 01/31/2022 01/16/2008 01/16/2008 06/10/2019 Current
ROWLETT, TX 75088
BAYLOR SCOTT & WHITE MEDICAL
CENTER - LAKEWAY
008526 5125715000100 MEDICAL PARKWAY 07/31/2021 09/01/2016 09/01/2016 09/01/2016 Current
LAKEWAY, TX 78738
BAYLOR SCOTT & WHITE MEDICAL
CENTER - LLANO
100090 2452422824200 W OLLIE ST 01/31/2021 01/01/2011 01/01/2011 12/22/2016 Current
LLANO, TX 78643
BAYLOR SCOTT & WHITE MEDICAL
CENTER - MARBLE FALLS
100310 8302018000810 W HIGHWAY 71 07/31/2021 07/02/2015 07/02/2015 07/02/2015 Current
MARBLE FALLS, TX 78654
Page 5 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
BAYLOR SCOTT & WHITE MEDICAL
CENTER - MCKINNEY
100153 46976422005252 WEST UNIVERSITY DRIVE 06/30/2020 06/06/2012 06/06/2012 06/30/2015 Current
MCKINNEY, TX 75071
BAYLOR SCOTT & WHITE MEDICAL
CENTER - PFLUGERVILLE
100452 51265461002600 EAST PFLUGERVILLE
PARKWAY SUITE 100
11/30/2020 11/13/2018 11/13/2018 04/09/2019 Current
PFLUGERVILLE, TX 78660
BAYLOR SCOTT & WHITE MEDICAL
CENTER - PLANO
008140 46981431764700 ALLIANCE BOULEVARD 11/30/2021 11/16/2004 11/16/2004 07/20/2015 Current
PLANO, TX 75093
BAYLOR SCOTT & WHITE MEDICAL
CENTER - ROUND ROCK
008526 5125090100300 UNIVERSITY BLVD 07/31/2021 07/12/2007 07/12/2007 07/19/2019 Current
ROUND ROCK, TX 78665
BAYLOR SCOTT & WHITE MEDICAL
CENTER - SUNNYVALE
100033 9728923000231 SOUTH COLLINS ROAD 09/30/2021 09/11/2009 09/11/2009 09/27/2019 Current
SUNNYVALE, TX 75182
BAYLOR SCOTT & WHITE MEDICAL
CENTER - TAYLOR
100096 7378883100305 MALLARD LANE 08/31/2020 09/01/2010 09/01/2010 09/16/2015 Current
TAYLOR, TX 76574
BAYLOR SCOTT & WHITE MEDICAL
CENTER - TEMPLE
000537 25472421112401 SOUTH 31ST STREET 03/31/2022 01/01/1964 01/01/1964 03/23/2020 Current
TEMPLE, TX 76508
BAYLOR SCOTT & WHITE MEDICAL
CENTER - TROPHY CLUB
008051 81783746002850 EAST STATE HWY 114 04/30/2022 04/23/2004 04/23/2004 10/05/2018 Current
TROPHY CLUB, TX 76262
BAYLOR SCOTT & WHITE MEDICAL
CENTER - UPTOWN
100086 21444330402727 EAST LEMMON AVENUE 02/28/2021 02/02/2011 02/02/2011 04/03/2019 Current
DALLAS, TX 75204
BAYLOR SCOTT & WHITE MEDICAL
CENTER AT WAXAHACHIE
100275 46984340002400 N I-35 E 10/31/2020 10/31/2014 10/31/2014 12/21/2017 Current
WAXAHACHIE, TX 75165
BAYLOR SCOTT & WHITE
ORTHOPEDIC AND SPINE HOSPITAL
100044 8175837100707 HIGHLANDER BOULEVARD 01/31/2022 01/22/2010 01/22/2010 06/20/2019 Current
ARLINGTON, TX 76015
BAYLOR SCOTT & WHITE PAVILION
- TEMPLE
000537 25472444061815 SOUTH 31ST STREET 03/31/2022 02/26/2003 02/26/2003 03/23/2020 Current
TEMPLE, TX 76504
Page 6 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
BAYLOR SCOTT & WHITE SURGICAL
HOSPITAL - FORT WORTH
100271 68270356001800 PARK PLACE AVENUE 10/31/2020 10/09/2014 10/09/2014 05/31/2019 Current
FORT WORTH, TX 76110
BAYLOR SCOTT & WHITE SURGICAL
HOSPITAL - LAS COLINAS
007995 9728684000400 WEST INTERSTATE 635 10/31/2020 10/20/2003 10/20/2003 11/25/2019 Current
IRVING, TX 75063
BAYLOR SCOTT & WHITE SURGICAL
HOSPITAL AT SHERMAN
100320 90387009993601 N CALAIS STREET 05/31/2021 06/01/2015 06/01/2015 06/01/2015 Current
SHERMAN, TX 75090
BAYLOR SCOTT & WHITE TEXAS
SPINE & JOINT HOSPITAL
007902 90352533001814 ROSELAND BOULEVARD 12/31/2021 12/11/2002 12/11/2002 09/28/2017 Current
TYLER, TX 75701
BAYLOR SCOTT & WHITE THE
HEART HOSPITAL - DENTON
100208 94022006002801 SOUTH MAYHILL ROAD 05/31/2021 05/31/2013 05/31/2013 04/04/2018 Current
DENTON, TX 76208
BAYLOR SCOTT & WHITE THE
HEART HOSPITAL - MCKINNEY
008440 46981435115268 W UNIVERSITY DRIVE 01/31/2021 07/24/2019 07/24/2019 07/24/2019 Current
MCKINNEY, TX 75071
BAYLOR SCOTT & WHITE THE
HEART HOSPITAL - PLANO
008440 46981435001100 ALLIED DRIVE 01/31/2021 01/18/2007 01/18/2007 04/13/2020 Current
PLANO, TX 75093
BAYLOR ST LUKES MEDICAL
CENTER - MCNAIR CAMPUS
000118 83235410007200 CAMBRIDGE STREET 01/31/2021 04/04/2019 04/04/2019 04/04/2019 Current
HOUSTON, TX 77030
BAYLOR UNIVERSITY MEDICAL
CENTER
000331 21482001113500 GASTON AVENUE 12/31/2021 01/01/1960 01/01/1960 12/18/2019 Current
DALLAS, TX 75246
BAYSIDE COMMUNITY HOSPITAL000442 4092673143200 HOSPITAL DRIVE 09/30/2021 01/08/1960 01/08/1960 10/01/1998 Current
ANAHUAC, TX 77514
BAYVIEW BEHAVIORAL HOSPITAL, A
CAMPUS OF CORPUS CHRISTI
MEDICAL
000703 36198682006629 WOOLRIDGE ROAD 09/30/2020 10/07/2011 05/03/2012 10/04/2018 Current
CORPUS CHRISTI, TX 78414
BEHAVIORAL MEDICINE AT
RENAISSANCE
007971 95636272935510 RAPHAEL DRIVE 07/31/2020 12/06/2007 12/06/2007 07/17/2018 Current
EDINBURG, TX 78539
BELLVILLE MEDICAL CENTER100120 979413740044 NORTH CUMMINGS STREET 12/31/2020 12/30/2010 12/30/2010 07/11/2019 Current
Page 7 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
BELLVILLE, TX 77418
BIG BEND REGIONAL MEDICAL
CENTER
007119 43283734472600 HIGHWAY 118 NORTH 08/31/2020 09/01/1999 09/01/1999 10/24/2018 Current
ALPINE, TX 79830
BROWNFIELD REGIONAL MEDICAL
CENTER
000078 8066373551705 EAST FELT STREET 10/31/2021 10/12/1971 10/12/1971 09/19/2019 Current
BROWNFIELD, TX 79316
BROWNWOOD REGIONAL MEDICAL
CENTER
000058 32564685411501 BURNETT ROAD 01/31/2021 08/01/1969 08/01/1969 08/26/2014 Current
BROWNWOOD, TX 76801
BRUSHY CREEK FAMILY HOSPITAL
LLC
100495 5127661400230 DEER RIDGE DR 11/30/2021 11/15/2019 11/15/2019 11/15/2019 Current
ROUND ROCK, TX 78681
CAPROCK HOSPITAL100420 97931423233134 BRIARCREST DR 02/28/2022 02/27/2018 02/27/2018 02/27/2018 Current
BRYAN, TX 77802
CARROLLTON REGIONAL MEDICAL
CENTER
100513 97239422584343 NORTH JOSEY LANE 02/28/2022 02/29/2020 02/29/2020 04/01/2020 Current
CARROLLTON, TX 75010
CARRUS REHABILITATION HOSPITAL100059 90387026001810 WEST HIGHWAY 82 STE 100 06/30/2022 06/16/2010 06/16/2010 06/16/2010 Current
SHERMAN, TX 75902
CARRUS SPECIALTY HOSPITAL100049 90387026001810 US HWY 82 WEST STE 200 02/28/2022 02/18/2010 02/18/2010 10/03/2018 Current
SHERMAN, TX 75092
CECIL R BOMAR REHABILITATION
CENTER
000478 9365647422707 WOOD STREET 12/31/2021 12/28/1999 12/28/1999 01/02/2020 Current
NACOGDOCHES, TX 75961
CEDAR PARK REGIONAL MEDICAL
CENTER
008583 51252870001401 MEDICAL PARKWAY 11/30/2021 11/07/2007 11/07/2007 10/03/2017 Current
CEDAR PARK, TX 78613
CENTRAL TEXAS REHABILITATION
HOSPITAL
100147 5124072111700 W 45TH STREET 04/30/2022 04/26/2012 04/26/2012 04/27/2012 Current
AUSTIN, TX 78751
CHI ST JOSEPH HEALTH - COLLEGE
STATION HOSPITAL
100486 97976451001604 ROCK PRAIRIE ROAD 07/31/2021 07/31/2019 07/31/2019 07/31/2019 Current
COLLEGE STATION, TX 77845
CHI ST JOSEPH HEALTH BURLESON
HOSPITAL
000679 97956732451101 WOODSON DRIVE 10/31/2020 01/01/1960 01/01/1960 09/30/2014 Current
CALDWELL, TX 77836
Page 8 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
CHI ST JOSEPH HEALTH GRIMES
HOSPITAL
007288 9368256585210 SOUTH JUDSON 03/31/2021 04/01/2001 04/01/2001 06/10/2019 Current
NAVASOTA, TX 77868
CHI ST JOSEPH HEALTH MADISON
HOSPITAL
000041 9363482631100 WEST CROSS STREET 09/30/2020 01/01/1960 01/01/1960 02/21/2017 Current
MADISONVILLE, TX 77864
CHI ST JOSEPH HEALTH REHAB
HOSP, AFFILIATE OF ENCOMPASS
HEALTH
100362 97982175791600 JOSEPH DRIVE SUITE 2000 07/31/2020 07/22/2016 07/22/2016 06/21/2018 Current
BRYAN, TX 77802
CHI ST LUKES HEALTH -
BRAZOSPORT
000436 9792974411100 MEDICAL DRIVE 02/28/2021 01/01/1960 01/01/1960 02/15/2017 Current
LAKE JACKSON, TX 77566
CHI ST LUKES HEALTH - MEMORIAL
LIVINGSTON
000466 93632987001717 HIGHWAY 59 BYPASS 06/30/2021 01/04/1960 01/04/1960 07/01/1998 Current
LIVINGSTON, TX 77351
CHI ST LUKES HEALTH -
SPRINGWOODS VILLAGE
007931 34630550002255 E MOSSY OAKS ROAD 03/31/2022 01/04/2016 01/04/2016 01/04/2016 Current
SPRING, TX 77389
CHI ST LUKES HEALTH BAYLOR
COLLEGE OF MEDICINE MEDICAL
CENTER
000118 71378585376720 BERTNER 01/31/2021 01/01/1960 01/01/1960 09/09/2019 Current
HOUSTON, TX 77030
CHI ST LUKES HEALTH MEMORIAL
LUFKIN
000129 93663481111201 WEST FRANK STREET 12/31/2020 01/01/1960 01/01/1960 12/05/2019 Current
LUFKIN, TX 75904
CHI ST LUKES HEALTH MEMORIAL
SAN AUGUSTINE
000072 9362753446511 HOSPITAL STREET 06/30/2021 01/01/1960 01/01/1960 01/30/2015 Current
SAN AUGUSTINE, TX 75972
CHILDRENS HOSPITAL OF SAN
ANTONIO
100166 2107042317333 NORTH SANTA ROSA STREET 09/30/2020 09/16/2012 09/16/2012 12/05/2014 Current
SAN ANTONIO, TX 78207
CHILDRENS MEDICAL CENTER OF
DALLAS
000143 21445621431935 MEDICAL DISTRICT DRIVE 08/31/2020 08/05/1967 08/05/1967 04/07/2015 Current
DALLAS, TX 75235
CHILDRENS MEDICAL CENTER
PLANO
100291 46930370007601 PRESTON ROAD 04/30/2021 04/07/2015 04/07/2015 04/07/2015 Current
Page 9 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
PLANO, TX 75024
CHILDRESS REGIONAL MEDICAL
CENTER
000026 9409376371901 HIGHWAY 83 NORTH 02/28/2021 03/10/1970 03/10/1970 01/03/2011 Current
CHILDRESS, TX 79201
CHRISTUS DUBUIS HOSPITAL OF
BEAUMONT
100414 40989981562830 CALDER STREET 4TH FLOOR 08/31/2021 09/01/2017 09/01/2017 02/14/2018 Current
BEAUMONT, TX 77702
CHRISTUS GOOD SHEPHERD
MEDICAL CENTER - LONGVIEW
000020 9033151811700 E MARSHALL AVENUE 03/31/2021 09/01/2017 09/01/2017 07/10/2018 Current
LONGVIEW, TX 75601
CHRISTUS GOOD SHEPHERD
MEDICAL CENTER - MARSHALL
000020 9039276000811 SOUTH WASHINGTON 03/31/2021 01/01/1960 01/01/1960 09/12/2017 Current
MARSHALL, TX 75670
CHRISTUS MOTHER FRANCES
HOSPITAL - JACKSONVILLE
007254 90354145002026 SOUTH JACKSON 12/31/2021 12/21/2000 12/21/2000 05/26/2016 Current
JACKSONVILLE, TX 75766
CHRISTUS MOTHER FRANCES
HOSPITAL - SOUTH TYLER
000286 90360665008389 S BROADWAY AVENUE 02/28/2021 02/02/2017 02/02/2017 02/02/2017 Current
TYLER, TX 75703
CHRISTUS MOTHER FRANCES
HOSPITAL - SULPHUR SPRINGS
100359 9034394052115 AIRPORT ROAD 07/31/2020 07/12/2016 07/12/2016 07/12/2016 Current
SULPHUR SPRINGS, TX 75482
CHRISTUS MOTHER FRANCES
HOSPITAL - TYLER
000286 9035315400800 EAST DAWSON 02/28/2021 01/01/1960 01/01/1960 12/10/2019 Current
TYLER, TX 75701
CHRISTUS MOTHER FRANCES
HOSPITAL - WINNSBORO
000446 9033425227719 WEST COKE ROAD 12/31/2021 01/31/1961 01/31/1961 05/26/2016 Current
WINNSBORO, TX 75494
CHRISTUS SANTA ROSA HOSPITAL -
ALAMO HEIGHTS
000339 2102948000403 TREELINE PARK 02/28/2022 11/01/2017 11/01/2017 11/01/2017 Current
SAN ANTONIO, TX 78209
CHRISTUS SANTA ROSA HOSPITAL -
MEDICAL CENTER
000339 21070560212827 BABCOCK ROAD 02/28/2022 11/01/2002 11/01/2002 11/02/2017 Current
SAN ANTONIO, TX 78229
CHRISTUS SANTA ROSA HOSPITAL -
NEW BRAUNFELS
100165 8306062170600 NORTH UNION AVENUE 09/30/2020 09/16/2012 09/16/2012 09/16/2012 Current
NEW BRAUNFELS, TX 78130
Page 10 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
CHRISTUS SANTA ROSA HOSPITAL -
SAN MARCOS
100514 51235389791301 WONDER WORLD DRIVE 03/31/2022 04/01/2020 04/01/2020 04/02/2020 Current
SAN MARCOS, TX 78666
CHRISTUS SANTA ROSA HOSPITAL -
WESTOVER HILLS
000339 210703800011212 STATE HIGHWAY 151 02/28/2022 07/02/2009 07/02/2009 08/07/2018 Current
SAN ANTONIO, TX 78251
CHRISTUS SOUTHEAST TEXAS -
JASPER MEMORIAL
000038 40938454611275 MARVIN HANCOCK DRIVE 01/31/2021 11/29/1968 11/29/1968 01/16/2019 Current
JASPER, TX 75951
CHRISTUS SOUTHEAST TEXAS - ST
ELIZABETH & ST MARY
000444 40989971062830 CALDER 01/31/2021 05/14/1962 05/14/1962 07/19/2019 Current
BEAUMONT, TX 77702
CHRISTUS SOUTHEAST TEXAS
ORTHOPEDIC SPECIALTY CENTER
000444 40983803463650 LAUREL AVENUE 01/31/2021 12/05/2013 12/05/2013 12/05/2013 Current
BEAUMONT, TX 77707
CHRISTUS SPOHN HOSPITAL ALICE006894 36166180152500 EAST MAIN STREET 06/30/2021 03/15/1999 03/15/1999 08/19/2019 Current
ALICE, TX 78332
CHRISTUS SPOHN HOSPITAL
BEEVILLE
000429 36135421251500 EAST HOUSTON HIGHWAY 06/30/2020 02/01/1964 02/01/1964 06/25/2018 Current
BEEVILLE, TX 78102
CHRISTUS SPOHN HOSPITAL CORPUS
CHRISTI
000398 36188131482606 HOSPITAL BOULEVARD 09/30/2021 02/22/1960 02/22/1960 09/30/2014 Current
CORPUS CHRISTI, TX 78405
CHRISTUS SPOHN HOSPITAL CORPUS
CHRISTI SHORELINE
000398 3618813148600 ELIZABETH STREET 09/30/2021 06/01/2003 06/01/2003 01/15/2020 Current
CORPUS CHRISTI, TX 78404
CHRISTUS SPOHN HOSPITAL CORPUS
CHRISTI SOUTH
000398 36198551035950 SARATOGA BOULEVARD 09/30/2021 06/01/2003 06/01/2003 02/06/2003 Current
CORPUS CHRISTI, TX 78414
CHRISTUS SPOHN HOSPITAL
KLEBERG
000216 36159516611311 EAST GENERAL CAVAZOS
BOULEVARD
06/30/2021 01/01/1960 01/01/1960 06/21/2012 Current
KINGSVILLE, TX 78363
CHRISTUS ST MARY OUTPATIENT
CENTER MID COUNTY
000444 40972436008801 9TH AVENUE 01/31/2021 04/25/2017 04/25/2017 04/25/2017 Current
PORT ARTHUR, TX 77642
CHRISTUS ST MICHAEL HOSPITAL -
ATLANTA
000788 90379930001007 SOUTH WILLIAM STREET 01/31/2021 01/01/2013 01/03/2013 01/01/2013 Current
Page 11 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ATLANTA, TX 75551
CHRISTUS ST MICHAEL
REHABILITATION HOSPITAL
000713 90361440002400 ST MICHAEL DRIVE 01/31/2022 01/27/1994 01/27/1994 02/01/1999 Current
TEXARKANA, TX 75503
CHRISTUS ST. MICHAEL HEALTH
SYSTEM
000788 90361422192600 ST MICHAEL DRIVE 01/31/2021 12/01/1994 12/01/1994 06/13/2016 Current
TEXARKANA, TX 75503
CHRISTUS TRINITY MOTHER
FRANCES REHAB HOSP, PARTNER OF
ENCOMPASS
000692 90351070003131 TROUP HIGHWAY 02/28/2021 02/03/1993 02/03/1993 04/05/2018 Current
TYLER, TX 75701
CITIZENS MEDICAL CENTER000064 36157391812701 HOSPITAL DRIVE 03/31/2021 01/01/1960 01/01/1960 07/26/2019 Current
VICTORIA, TX 77901
CITY HOSPITAL AT WHITE ROCK100422 21432461009440 POPPY DRIVE 02/28/2022 03/01/2018 03/01/2018 04/13/2020 Current
DALLAS, TX 75218
CLAY COUNTY MEMORIAL
HOSPITAL
000193 9405385621310 WEST SOUTH STREET 10/31/2020 01/01/1960 01/01/1960 11/01/1998 Current
HENRIETTA, TX 76365
CLEVELAND EMERGENCY HOSPITAL100332 28159254001017 S TRAVIS 08/31/2021 08/21/2015 08/21/2015 09/17/2019 Current
CLEVELAND, TX 77327
COBALT REHABILITATION
HOSPITAL EL PASO
100479 91597586301600 E CLIFF DRIVE 09/30/2021 09/06/2019 09/06/2019 09/06/2019 Current
EL PASO, TX 79902
COBALT REHABILITATION
HOUSTON HEIGHTS
100478 71381491001917 ASHLAND STREET 4TH FLOOR 09/30/2021 09/04/2019 09/04/2019 09/04/2019 Current
HOUSTON, TX 77008
COCHRAN MEMORIAL HOSPITAL000159 8063008996201 EAST GRANT AVENUE 04/30/2022 01/01/1960 01/01/1960 05/01/1998 Current
MORTON, TX 79346
COGDELL MEMORIAL HOSPITAL008691 32557474371700 COGDELL BLVD. 08/31/2020 07/03/2008 07/03/2008 06/25/2015 Current
SNYDER, TX 79549
COLEMAN COUNTY MEDICAL
CENTER COMPANY
100168 3256252135310 SOUTH PECOS STREET 03/31/2022 03/01/2012 03/01/2012 03/01/2012 Current
COLEMAN, TX 76834
COLLINGSWORTH GENERAL
HOSPITAL
008209 80644725211013 15TH STREET 03/31/2022 04/01/2004 04/01/2004 02/01/2011 Current
WELLINGTON, TX 79095
Page 12 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
COLUMBUS COMMUNITY HOSPITAL000014 9797322371110 SHULT DRIVE 09/30/2021 10/06/1975 10/06/1975 10/01/1998 Current
COLUMBUS, TX 78934
COMANCHE COUNTY MEDICAL
CENTER
100123 254879490010201 HIGHWAY 16 NORTH 12/31/2021 01/01/2011 12/07/2011 10/21/2014 Current
COMANCHE, TX 76442
CONCHO COUNTY HOSPITAL000202 3258695911614 EAKER STREET 08/31/2021 08/14/1968 08/14/1968 09/11/2019 Current
EDEN, TX 76837
CONNALLY MEMORIAL MEDICAL
CENTER
000433 8303931303499 10TH STREET 08/31/2020 05/20/1960 05/20/1960 08/07/2006 Current
FLORESVILLE, TX 78114
CONTINUECARE HOSPITAL AT
HENDRICK MEDICAL CENTER
100285 32567062511900 PINE STREET 7TH FLOOR 12/31/2020 12/17/2014 12/17/2014 11/08/2016 Current
ABILENE, TX 79601
CONTINUECARE HOSPITAL AT
MEDICAL CENTER ODESSA
100305 4326404380500 W 4TH STREET 4TH FLOOR 05/31/2021 05/29/2015 05/29/2015 04/19/2017 Current
ODESSA, TX 79761
COOK CHILDRENS MEDICAL CENTER000332 6828854340801 SEVENTH AVENUE 09/30/2021 01/01/1960 01/01/1960 08/05/2019 Current
FORT WORTH, TX 76104
COON MEMORIAL HOSPITAL AND
HOME
000262 80624492671411 DENVER AVENUE 08/31/2021 01/01/1960 01/01/1960 09/01/1998 Current
DALHART, TX 79022
CORNERSTONE REGIONAL HOSPITAL000830 95661844442302 CORNERSTONE BOULEVARD 10/31/2021 10/08/1998 10/08/1998 10/31/2001 Current
EDINBURG, TX 78539
CORNERSTONE SPECIALTY
HOSPITALS AUSTIN
100293 51270619004207 BURNET ROAD 01/31/2021 02/01/2015 02/01/2015 11/07/2018 Current
AUSTIN, TX 78756
CORNERSTONE SPECIALTY
HOSPITALS CLEAR LAKE
100314 2813323322709 MEDICAL CENTER BLVD 05/31/2021 06/01/2015 06/01/2015 05/01/2020 Current
WEBSTER, TX 77598
CORNERSTONE SPECIALTY
HOSPITALS CONROE
100317 93652318001500 GRAND LAKE DRIVE 05/31/2021 06/01/2015 06/01/2015 11/07/2018 Current
CONROE, TX 77304
CORNERSTONE SPECIALTY
HOSPITALS HOUSTON MEDICAL
CENTER
100412 71328510001300 BINZ 07/31/2021 08/01/2017 08/01/2017 11/26/2019 Current
HOUSTON, TX 77004
Page 13 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
CORNERSTONE SPECIALTY
HOSPITALS ROUND ROCK
100293 51267111004681 COLLEGE PARK DRIVE 01/31/2021 02/01/2015 02/01/2015 02/01/2015 Current
ROUND ROCK, TX 78665
CORPUS CHRISTI REHABILITATION
HOSPITAL
100217 36190637005727 ESPLANADE DRIVE 07/31/2021 07/19/2013 07/19/2013 07/19/2013 Current
CORPUS CHRISTI, TX 78414
CORYELL MEMORIAL HOSPITAL000346 25486582511507 WEST MAIN STREET 12/31/2021 01/01/1960 01/01/1960 01/01/1999 Current
GATESVILLE, TX 76528
COVENANT CHILDRENS HOSPITAL008638 80672579604015 22ND PLACE 03/31/2022 03/19/2008 03/19/2008 03/30/2020 Current
LUBBOCK, TX 79410
COVENANT HOSPITAL LEVELLAND000307 80689449631900 COLLEGE AVENUE 10/31/2020 11/08/1971 11/08/1971 09/24/2014 Current
LEVELLAND, TX 79336
COVENANT HOSPITAL PLAINVIEW000146 80629642652601 DIMMIT ROAD 05/31/2021 07/07/1970 07/07/1970 06/01/1998 Current
PLAINVIEW, TX 79072
COVENANT MEDICAL CENTER100454 80672500003615 19TH STREET 12/31/2020 01/01/2019 01/01/2019 01/01/2019 Current
LUBBOCK, TX 79410
COVENANT SPECIALTY HOSPITAL008462 80672592003815 20TH STREET 02/28/2021 02/16/2007 02/16/2007 02/09/2011 Current
LUBBOCK, TX 79410
CRANE MEMORIAL HOSPITAL008726 43255835551310 SOUTH ALFORD STREET 09/30/2020 09/16/2008 09/16/2008 09/16/2008 Current
CRANE, TX 79731
CRESCENT MEDICAL CENTER
LANCASTER
100202 46929753212600 WEST PLEASANT RUN ROAD 06/30/2021 06/11/2013 06/11/2013 06/21/2019 Current
LANCASTER, TX 75146
CROCKETT MEDICAL CENTER100417 93654638911100 E LOOP 304 01/31/2022 01/16/2018 01/16/2018 01/31/2018 Current
CROCKETT, TX 75835
CROSBYTON CLINIC HOSPITAL000176 8066752382710 WEST MAIN STREET 03/31/2021 01/01/1960 01/01/1960 04/24/2019 Current
CROSBYTON, TX 79322
CUERO REGIONAL HOSPITAL000074 36127561912550 NORTH ESPLANADE 06/30/2021 06/24/1970 06/24/1970 01/25/2017 Current
CUERO, TX 77954
CULBERSON HOSPITAL008172 4322832760EISENHOWER-FM 2185 07/31/2020 08/01/2004 08/01/2004 08/01/2004 Current
VAN HORN, TX 79855
DALLAS MEDICAL CENTER100214 97224710007 MEDICAL PARKWAY 02/28/2022 03/01/2010 03/01/2010 01/29/2020 Current
DALLAS, TX 75234
DALLAS REGIONAL MEDICAL
CENTER
100292 21432077871011 NORTH GALLOWAY AVE 03/31/2021 03/01/2015 03/01/2015 03/01/2015 Current
Page 14 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
MESQUITE, TX 75149
DEL SOL MEDICAL CENTER A
CAMPUS OF LPDS HEALTHCARE
000180 915595900010301 GATEWAY BOULEVARD WEST 06/30/2021 07/20/2009 07/20/2009 07/03/2019 Current
EL PASO, TX 79925
DELL CHILDRENS MEDICAL CENTER008520 51232401014900 MUELLER BLVD 06/30/2021 06/13/2007 06/13/2007 06/18/2019 Current
AUSTIN, TX 78723
DELL SETON MEDICAL CENTER AT
THE UNIVERSITY OF TEXAS
000335 51232470001500 RED RIVER STREET 09/30/2020 05/10/2017 05/10/2017 07/19/2019 Current
AUSTIN, TX 78701
DETAR HEALTHCARE SYSTEM000453 3615757441506 EAST SAN ANTONIO STREET 09/30/2020 01/11/1960 01/11/1960 05/06/2019 Current
VICTORIA, TX 77901
DETAR HEALTHCARE SYSTEM000453 3615736100101 MEDICAL DRIVE 09/30/2020 11/01/2000 11/01/2000 10/01/1998 Current
VICTORIA, TX 77904
DIMMIT REGIONAL HOSPITAL100175 8308762424704 HOSPITAL DRIVE 03/31/2022 03/01/2010 03/01/2010 04/03/2017 Current
CARRIZO SPRINGS, TX 78834
DOCTORS HOSPITAL AT
RENAISSANCE
007971 95636273605501 SOUTH MCCOLL 07/31/2020 07/25/2003 07/25/2003 07/17/2018 Current
EDINBURG, TX 78539
DOCTORS HOSPITAL OF LAREDO000301 956523200010700 MCPHERSON ROAD 05/31/2022 05/08/1974 05/08/1974 06/01/1999 Current
LAREDO, TX 78045
DRISCOLL CHILDRENS HOSPITAL000488 36169450103533 SOUTH ALAMEDA 03/31/2021 01/12/1960 01/12/1960 04/01/1998 Current
CORPUS CHRISTI, TX 78411
EASTLAND MEMORIAL HOSPITAL000222 2546292601304 SOUTH DAUGHERTY 12/31/2020 01/01/1960 01/01/1960 12/21/2010 Current
EASTLAND, TX 76448
EL CAMPO MEMORIAL HOSPITAL100127 9795436251303 SANDY CORNER ROAD 10/31/2021 10/31/2011 10/31/2011 10/31/2011 Current
EL CAMPO, TX 77437
EL PASO LTAC HOSPITAL008413 91554658221221 NORTH COTTON, 3RD FLOOR 10/31/2020 10/12/2006 10/12/2006 10/12/2006 Current
EL PASO, TX 79902
EL PASO CHILDRENS HOSPITAL100133 91524286004845 ALAMEDA AVE 02/28/2022 02/08/2012 02/08/2012 02/09/2018 Current
EL PASO, TX 79905
ELECTRA MEMORIAL HOSPITAL000490 94049539811207 SOUTH BAILEY STREET 06/30/2021 06/23/1976 06/23/1976 06/20/2012 Current
ELECTRA, TX 76360
EMINENT MEDICAL CENTER100370 46991088001351 W PRESIDENT BUSH HWY 10/31/2020 10/07/2016 10/07/2016 10/07/2016 Current
RICHARDSON, TX 75080
Page 15 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
ABILENE
100036 32569116006401 DIRECTORS PARKWAY 09/30/2021 09/28/2009 09/28/2009 04/03/2018 Current
ABILENE, TX 79606
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
ARLINGTON
000660 81746840003200 MATLOCK ROAD 12/31/2021 05/01/1990 05/01/1990 04/03/2018 Current
ARLINGTON, TX 76015
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
AUSTIN
100143 5127304800330 WEST BEN WHITE BLVD 04/30/2022 04/18/2012 04/18/2012 04/03/2018 Current
AUSTIN, TX 78704
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
CITY VIEW
000662 81737047006701 OAKMONT BOULEVARD 07/31/2021 07/09/1990 07/09/1990 04/03/2018 Current
FORT WORTH, TX 76132
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
CYPRESS
100112 832280250013031 WORTHAM CENTER DRIVE 10/31/2021 10/21/2011 10/21/2011 04/03/2018 Current
HOUSTON, TX 77065
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
DALLAS
100068 21470682007930 NORTHAVEN 08/31/2020 08/26/2010 08/26/2010 08/06/2019 Current
DALLAS, TX 75230
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
HUMBLE
100245 281446614819002 MCKAY DRIVE 12/31/2021 01/01/2014 01/01/2014 04/03/2018 Current
HUMBLE, TX 77338
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
KATY
100472 281505350023331 GRAND RESERVE DRIVE 08/31/2021 08/28/2019 08/28/2019 08/28/2019 Current
KATY, TX 77494
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
MIDLAND ODESSA
000693 43252016001800 HERITAGE BOULEVARD 12/31/2021 01/27/1993 01/27/1993 04/05/2018 Current
MIDLAND, TX 79707
Page 16 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
PEARLAND
100402 34690730002121 BUSINESS CENTER DRIVE 10/31/2021 10/12/2017 10/12/2017 05/12/2020 Current
PEARLAND, TX 77584
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
PLANO
000670 97261290002800 WEST 15TH STREET 06/30/2021 03/25/1991 03/25/1991 04/03/2018 Current
PLANO, TX 75075
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
RICHARDSON
008613 97239857003351 WATERVIEW PARKWAY 01/31/2022 01/08/2008 01/08/2008 04/03/2018 Current
RICHARDSON, TX 75080
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
ROUND ROCK
008661 51224444001400 HESTERS CROSSING 06/30/2020 06/12/2008 06/12/2008 06/22/2018 Current
ROUND ROCK, TX 78681
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF SAN
ANTONIO
000636 21069107379119 CINNAMON HILL 12/31/2021 05/02/1988 05/02/1988 04/03/2018 Current
SAN ANTONIO, TX 78240
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
SUGAR LAND
100071 28127675741325 HIGHWAY 6 09/30/2020 09/20/2010 10/04/2010 04/03/2018 Current
SUGAR LAND, TX 77478
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
TEXARKANA
000684 9037355000515 WEST 12TH STREET 12/31/2021 04/13/1992 04/13/1992 04/03/2018 Current
TEXARKANA, TX 75501
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF THE
MID-CITIES
100070 81768420002304 STATE HIGHWAY 121 09/30/2020 09/30/2010 09/30/2010 04/03/2018 Current
BEDFORD, TX 76021
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF THE
WOODLANDS
000695 281364200018550 IH 45 SOUTH 12/31/2021 06/01/1993 06/01/1993 04/03/2018 Current
CONROE, TX 77384
Page 17 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ENCOMPASS HEALTH
REHABILITATION HOSPITAL OF
WICHITA FALLS
000685 94072057003901 ARMORY ROAD 07/31/2020 07/06/1992 07/06/1992 04/03/2018 Current
WICHITA FALLS, TX 76302
ENCOMPASS HEALTH
REHABILITATION HOSPITAL THE
VINTAGE
100140 281205510020180 CHASEWOOD PARK DRIVE 04/30/2022 04/13/2012 04/13/2012 04/03/2018 Current
HOUSTON, TX 77070
ENCOMPASS HEALTH
REHABILITATION HOSPITAL VISION
PARK
008737 9364441700117 VISION PARK BLVD 12/31/2020 12/19/2008 12/19/2008 04/03/2018 Current
SHENANDOAH, TX 77384
ENNIS REGIONAL MEDICAL CENTER008531 97287509002201 WEST LAMPASAS STREET 07/31/2021 07/20/2007 07/20/2007 10/24/2007 Current
ENNIS, TX 75119
EVEREST REHABILITATION
HOSPITAL LONGVIEW
100470 4302404600701 E LOOP 281 08/31/2021 08/01/2019 08/01/2019 08/01/2019 Current
LONGVIEW, TX 75605
EVEREST REHABILITATION
HOSPITAL TEMPLE
100475 254410055523621 SE H K DODGEN LOOP 08/31/2021 08/29/2019 08/29/2019 08/29/2019 Current
TEMPLE, TX 76504
FAITH COMMUNITY HOSPITAL100322 9405676633215 CHISHOLM TRAIL 09/30/2021 09/15/2015 09/15/2015 09/15/2015 Current
JACKSBORO, TX 76458
FALLS COMMUNITY HOSPITAL AND
CLINIC
000517 2548033561322 COLEMAN STREET 09/30/2020 01/15/1963 01/15/1963 12/13/2012 Current
MARLIN, TX 76661
FIRST BAPTIST MEDICAL CENTER100342 46932937008111 MEADOW RD 03/31/2022 03/02/2016 03/02/2016 03/02/2016 Current
DALLAS, TX 75231
FIRST SURGICAL HOSPITAL100491 71327511114801 BISSONNET STREET 09/30/2021 09/30/2019 09/30/2019 09/30/2019 Current
BELLAIRE, TX 77401
FIRST TEXAS HOSPITAL100365 34620623009922 LOUETTA RD 08/31/2020 08/05/2016 08/05/2016 08/05/2016 Current
HOUSTON, TX 77070
FISHER COUNTY HOSPITAL
DISTRICT
000355 3257352256774 STATE HWY 70 NORTH 10/31/2020 07/12/1976 07/12/1976 11/01/1998 Current
ROTAN, TX 79546
FORT DUNCAN REGIONAL MEDICAL
CENTER
000547 83077353213333 NORTH FOSTER MALDONADO 09/30/2020 09/07/1969 09/07/1969 09/15/2000 Current
EAGLE PASS, TX 78852
Page 18 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
FOUNDATION SURGICAL HOSPITAL
OF SAN ANTONIO
008521 21047854009522 HUEBNER ROAD 06/30/2021 06/28/2007 06/28/2007 06/28/2007 Current
SAN ANTONIO, TX 78240
FREESTONE MEDICAL CENTER100380 9033892121125 NEWMAN STREET 12/31/2020 01/01/2017 01/01/2017 01/01/2017 Current
FAIRFIELD, TX 75840
FRIO REGIONAL HOSPITAL000441 8303343617200 S IH-35 12/31/2021 12/07/1962 12/07/1962 03/17/2020 Current
PEARSALL, TX 78061
GLEN ROSE MEDICAL CENTER100213 25489722151021 HOLDEN STREET 07/31/2021 08/01/2013 08/01/2013 08/01/2013 Current
GLEN ROSE, TX 76043
GOLDEN PLAINS COMMUNITY
HOSPITAL
100111 8064675700100 MEDICAL DRIVE 10/31/2021 10/18/2011 10/18/2011 10/18/2011 Current
BORGER, TX 79007
GOODALL-WITCHER HOSPITAL100467 2546758322101 POSEY AVE 06/30/2021 07/01/2019 07/01/2019 07/01/2019 Current
CLIFTON, TX 76634
GRACE MEDICAL CENTER008730 80678840602412 50TH STREET 09/30/2020 09/12/2008 09/12/2008 09/12/2008 Current
LUBBOCK, TX 79412
GRAHAM REGIONAL MEDICAL
CENTER
100252 94054934001301 MONTGOMERY ROAD 01/31/2022 02/01/2014 02/01/2014 02/01/2014 Current
GRAHAM, TX 76450
GUADALUPE REGIONAL MEDICAL
CENTER
000155 83037924111215 EAST COURT STREET 08/31/2020 08/30/1965 08/30/1965 05/17/2018 Current
SEGUIN, TX 78155
HAMILTON GENERAL HOSPITAL000640 2543861950400 NORTH BROWN AVENUE 05/31/2021 08/30/1988 08/30/1988 03/28/2018 Current
HAMILTON, TX 76531
HAMILTON HOSPITAL000294 9405645521901 WEST HAMILTON STREET 03/31/2021 01/01/1960 01/01/1960 02/07/2011 Current
OLNEY, TX 76374
HANSFORD COUNTY HOSPITAL000395 8066592535707 SOUTH ROLAND 09/30/2020 01/01/1960 01/01/1960 08/22/2018 Current
SPEARMAN, TX 79081
HARDEMAN COUNTY MEMORIAL
HOSPITAL
000102 9406632795402 MERCER STREET 01/31/2021 03/28/1967 03/28/1967 01/10/2019 Current
QUANAH, TX 79252
HARLINGEN MEDICAL CENTER007880 95636510005501 SOUTH EXPRESSWAY 77 09/30/2021 09/25/2002 09/25/2002 08/20/2019 Current
HARLINGEN, TX 78550
HARRIS HEALTH SYSTEM BEN TAUB
HOSPITAL
000459 71356662971504 TAUB LOOP 05/31/2020 05/15/1963 05/15/1963 04/24/2019 Current
Page 19 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HOUSTON, TX 77030
HARRIS HEALTH SYSTEM LYNDON B
JOHNSON HOSPITAL
000459 71356662975656 KELLEY STREET 05/31/2020 11/29/2007 11/29/2007 05/17/2018 Current
HOUSTON, TX 77026
HASKELL MEMORIAL HOSPITAL000572 94086426211 NORTH AVENUE N 02/28/2021 02/15/1960 02/15/1960 01/10/2011 Current
HASKELL, TX 79521
HCA HOUSTON HEALTHCARE CLEAR
LAKE
000212 2813322511500 MEDICAL CENTER BOULEVARD 12/31/2020 01/16/1972 01/16/1972 02/05/2019 Current
WEBSTER, TX 77598
HCA HOUSTON HEALTHCARE
CONROE
000508 9365391111504 MEDICAL CENTER BOULEVARD 12/31/2021 01/01/1960 01/01/1960 02/05/2019 Current
CONROE, TX 77304
HCA HOUSTON HEALTHCARE
KINGWOOD
000675 281348800122999 US HIGHWAY 59 10/31/2020 05/15/1991 05/15/1991 02/15/2019 Current
KINGWOOD, TX 77339
HCA HOUSTON HEALTHCARE
MAINLAND
000212 40993850006801 EMMETT F LOWERY
EXPRESSWAY
12/31/2020 04/01/2011 04/01/2011 04/01/2011 Current
TEXAS CITY, TX 77591
HCA HOUSTON HEALTHCARE
MEDICAL CENTER
100410 71352750001313 HERMANN DRIVE 07/31/2021 08/01/2017 08/01/2017 02/05/2019 Current
HOUSTON, TX 77004
HCA HOUSTON HEALTHCARE NORTH
CYPRESS
000675 832912350021214 NORTHWEST FREEWAY 10/31/2020 08/31/2018 08/31/2018 08/31/2018 Current
CYPRESS, TX 77429
HCA HOUSTON HEALTHCARE
NORTHWEST
008655 2814401000710 CYPRESS CREEK PARKWAY 05/31/2022 06/02/2008 06/02/2008 02/14/2019 Current
HOUSTON, TX 77090
HCA HOUSTON HEALTHCARE
PEARLAND
100283 713770710011100 SHADOW CREEK PARKWAY 12/31/2020 12/18/2014 12/18/2014 02/05/2019 Current
PEARLAND, TX 77584
HCA HOUSTON HEALTHCARE
SOUTHEAST
000349 71335920004000 SPENCER HIGHWAY 12/31/2021 11/15/1961 11/15/1961 11/27/2019 Current
PASADENA, TX 77504
HCA HOUSTON HEALTHCARE
TOMBALL
100409 2814017500605 HOLDERRIETH BOULEVARD 06/30/2021 07/01/2017 07/01/2017 02/05/2019 Current
TOMBALL, TX 77375
HCA HOUSTON HEALTHCARE WEST000337 281558344412141 RICHMOND AVENUE 12/31/2021 05/24/1974 05/24/1974 02/05/2019 Current
Page 20 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HOUSTON, TX 77082
HEALTHBRIDGE CHILDRENS
HOSPITAL-HOUSTON LTD
007125 28129377742929 WOODLAND PARK DRIVE 07/31/2020 10/01/1999 10/01/1999 08/01/2003 Current
HOUSTON, TX 77082
HEART HOSPITAL OF AUSTIN, A
CAMPUS OF ST DAVIDS MEDICAL
CENTER
000035 51240770003801 NORTH LAMAR 04/30/2022 12/07/2010 12/07/2010 12/07/2010 Current
AUSTIN, TX 78756
HEART OF TEXAS HEALTHCARE
SYSTEM
100207 32559729012008 NINE ROAD 03/31/2021 04/01/2011 04/01/2011 04/01/2011 Current
BRADY, TX 76825
HEMPHILL COUNTY HOSPITAL000457 80632364221020 SOUTH 4TH STREET 06/30/2020 01/07/1960 01/07/1960 07/01/1998 Current
CANADIAN, TX 79014
HENDRICK MEDICAL CENTER000500 32567020001900 PINE 01/31/2021 01/19/1960 01/19/1960 08/14/2018 Current
ABILENE, TX 79601
HEREFORD REGIONAL MEDICAL
CENTER
100121 8063642141540 WEST 15TH STREET 12/31/2021 12/05/2011 12/05/2011 12/05/2011 Current
HEREFORD, TX 79045
HIGHLANDS REHABILITATION
HOSPITAL
100318 91529872221395 GEORGE DIETER DRIVE 07/31/2021 08/01/2015 08/01/2015 08/01/2015 Current
EL PASO, TX 79936
HILL COUNTRY MEMORIAL
HOSPITAL
000219 83099743531020 STATE HIGHWAY 16 SOUTH 01/31/2022 01/15/1971 01/15/1971 01/09/2020 Current
FREDERICKSBURG, TX 78624
HILL REGIONAL HOSPITAL000383 2545808500101 CIRCLE DRIVE 07/31/2020 12/20/1961 12/20/1961 05/20/2019 Current
HILLSBORO, TX 76645
HORIZON MEDICAL CENTER OF
DENTON
100363 94032023002813 S MAYHILL RD 07/31/2020 07/29/2016 07/29/2016 05/01/2019 Current
DENTON, TX 76208
HOUSTON METHODIST BAYTOWN
HOSPITAL
000405 28142086004401 GARTH ROAD 01/31/2022 01/06/1960 01/06/1960 10/02/2019 Current
BAYTOWN, TX 77521
HOUSTON METHODIST CLEAR LAKE
HOSPITAL
100241 281333886518300 HOUSTON METHODIST DR 01/31/2022 02/01/2014 02/01/2014 08/30/2019 Current
HOUSTON, TX 77058
HOUSTON METHODIST CONTINUING
CARE HOSPITAL
100240 8325227550701 S FRY ROAD 01/31/2022 02/01/2014 02/01/2014 01/22/2020 Current
Page 21 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
KATY, TX 77450
HOUSTON METHODIST HOSPITAL000124 71379033116565 FANNIN 01/31/2021 01/01/1960 01/01/1960 03/18/2020 Current
HOUSTON, TX 77030
HOUSTON METHODIST SUGAR LAND
HOSPITAL
000823 281274700016655 SOUTHWEST FREEWAY 02/28/2022 02/17/1998 02/17/1998 07/16/2019 Current
SUGAR LAND, TX 77479
HOUSTON METHODIST THE
WOODLANDS HOSPITAL
100386 936270200017201 I-45 SOUTH 04/30/2021 04/17/2017 04/17/2017 10/02/2019 Current
THE WOODLANDS, TX 77385
HOUSTON METHODIST WEST
HOSPITAL
100080 832522100018500 KATY FREEWAY 12/31/2020 12/10/2010 12/10/2010 04/18/2018 Current
HOUSTON, TX 77094
HOUSTON METHODIST
WILLOWBROOK HOSPITAL
007247 281737100018220 STATE HIGHWAY 249 12/31/2021 12/06/2000 12/06/2000 03/09/2020 Current
HOUSTON, TX 77070
HOUSTON PHYSICIANS HOSPITAL008220 2815575621333 NORTH TEXAS AVENUE 05/31/2021 05/12/2005 05/12/2005 12/30/2010 Current
WEBSTER, TX 77598
HUNT REGIONAL MEDICAL CENTER
GREENVILLE
000085 90340850004215 JOE RAMSEY BOULEVARD 09/30/2020 09/17/1971 09/17/1971 09/13/2019 Current
GREENVILLE, TX 75401
HUNTSVILLE MEMORIAL HOSPITAL100511 9362913411110 MEMORIAL HOSPITAL DRIVE 02/28/2022 02/26/2020 02/26/2020 02/28/2020 Current
HUNTSVILLE, TX 77340
ICARE REHABILITATION HOSPITAL100350 21451303103100 PETERS COLONY ROAD 04/30/2020 04/26/2016 04/26/2016 04/26/2016 Current
FLOWER MOUND, TX 75022
IRAAN GENERAL HOSPITAL008651 4326392575600 HIGHWAY 349 NORTH 05/31/2022 05/08/2008 05/08/2008 04/02/2020 Current
IRAAN, TX 79744
JACKSON COUNTY HOSPITAL000017 36178278001013 SOUTH WELLS STREET 08/31/2020 03/29/1973 03/29/1973 09/04/2007 Current
EDNA, TX 77957
JOHN PETER SMITH HOSPITAL000409 81792134311500 S MAIN ST 01/31/2022 01/05/1960 01/05/1960 01/28/2020 Current
FORT WORTH, TX 76104
JPS HEALTH NETWORK - TRINITY
SPRINGS NORTH
000409 81770210881000 ST LOUIS AVENUE 01/31/2022 12/22/2015 12/22/2015 01/28/2020 Current
FORT WORTH, TX 76104
KATE DISHMAN REHABILITATION
HOSPITAL
008619 40989983802830 CALDER ST 6TH FLOOR SOUTH 01/31/2022 01/18/2008 01/18/2008 01/18/2008 Current
BEAUMONT, TX 77702
Page 22 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
KELL WEST REGIONAL HOSPITAL006814 94069258885420 KELL BOULEVARD WEST 01/31/2021 01/15/1999 01/15/1999 12/29/2010 Current
WICHITA FALLS, TX 76310
KIMBLE HOSPITAL100113 3254463321349 REID ROAD 10/31/2021 10/25/2011 10/25/2011 10/25/2011 Current
JUNCTION, TX 76849
KINDRED HOSPITAL - SAN ANTONIO
CENTRAL
100358 2102977195111 DALLAS STREET 4TH FLOOR 06/30/2020 06/28/2016 06/28/2016 06/28/2016 Current
SAN ANTONIO, TX 78205
KINDRED HOSPITAL CLEAR LAKE007204 2813167800350 BLOSSOM STREET 07/31/2021 05/31/2005 05/31/2005 06/14/2019 Current
WEBSTER, TX 77598
KINDRED HOSPITAL DALLAS
CENTRAL
100016 46923265008050 MEADOW ROAD 06/30/2021 06/30/2009 06/30/2009 07/18/2011 Current
DALLAS, TX 75231
KINDRED HOSPITAL EL PASO007271 91535190441740 CURIE DRIVE 02/28/2022 03/01/2001 03/01/2001 02/10/2020 Current
EL PASO, TX 79902
KINDRED HOSPITAL HOUSTON
MEDICAL CENTER
000676 71379005006441 MAIN STREET 04/30/2021 07/26/1991 07/26/1991 07/18/2011 Current
HOUSTON, TX 77030
KINDRED HOSPITAL HOUSTON NW000706 281517100011297 FALLBROOK DRIVE 12/31/2021 11/24/1993 11/24/1993 01/01/1998 Current
HOUSTON, TX 77065
KINDRED HOSPITAL SUGAR LAND007927 28127560001550 FIRST COLONY BOULEVARD 02/28/2022 03/01/2003 03/01/2003 05/14/2020 Current
SUGAR LAND, TX 77479
KINDRED HOSPITAL-MANSFIELD000657 81747361011802 HIGHWAY 157 NORTH 04/30/2022 01/02/1990 01/02/1990 05/01/1998 Current
MANSFIELD, TX 76063
KINDRED HOSPITAL-SAN ANTONIO000645 21061606163636 MEDICAL DRIVE 04/30/2022 01/05/1989 01/05/1989 07/07/2008 Current
SAN ANTONIO, TX 78229
KINDRED HOSPITAL-TARRANT
COUNTY
000690 81754834001000 NORTH COOPER STREET 11/30/2021 11/30/1992 11/30/1992 03/03/2015 Current
ARLINGTON, TX 76011
KINDRED HOSPITAL-TARRANT
COUNTY
000800 81734600947800 OAKMONT BOULEVARD 08/31/2021 09/01/1995 09/01/1995 03/03/2015 Current
FORT WORTH, TX 76132
KINGWOOD EMERGENCY HOSPITAL100416 832777616523330 HIGHWAY 59 N 01/31/2022 01/26/2018 01/26/2018 10/31/2019 Current
KINGWOOD, TX 77339
KNAPP MEDICAL CENTER000480 95696885671401 EAST EIGHTH STREET 10/31/2021 10/10/1961 10/10/1961 05/16/2019 Current
WESLACO, TX 78596
Page 23 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
KNOX COUNTY HOSPITAL000568 9406573535701 SOUTHEAST 5TH STREET 08/31/2021 02/15/1960 02/15/1960 07/29/2019 Current
KNOX CITY, TX 79529
KPC PROMISE HOSPITAL OF DALLAS100480 21463700007955 HARRY HINES BOULEVARD 06/30/2021 06/14/2019 06/14/2019 06/14/2019 Current
DALLAS, TX 75235
KPC PROMISE HOSPITAL OF
WICHITA FALLS
100484 94072066331103 GRACE STREET 06/30/2021 06/14/2019 06/14/2019 06/14/2019 Current
WICHITA FALLS, TX 76301
KYLE ER & HOSPITAL100458 71366005575615 KYLE CENTER DR 03/31/2021 03/06/2019 03/06/2019 03/26/2019 Current
KYLE, TX 78640
LAKE GRANBURY MEDICAL CENTER000424 81757322731310 PALUXY ROAD 12/31/2021 03/01/1976 03/01/1976 04/21/2015 Current
GRANBURY, TX 76048
LAKE TRAVIS ER LLC100419 51226027325012 N FM 620 RD 02/28/2022 02/07/2018 02/07/2018 02/07/2018 Current
AUSTIN, TX 78732
LAMB HEALTHCARE CENTER000217 80638564111500 SOUTH SUNSET 07/31/2020 08/01/1979 08/01/1979 12/16/2004 Current
LITTLEFIELD, TX 79339
LAREDO MEDICAL CENTER000207 95679650001700 EAST SAUNDERS STREET 09/30/2020 01/01/1960 01/01/1960 10/01/2003 Current
LAREDO, TX 78041
LAREDO REHABILITATION
HOSPITAL
100287 95676485552005 A BUSTAMANTE STREET 01/31/2021 01/16/2015 01/16/2015 03/05/2020 Current
LAREDO, TX 78041
LAREDO SPECIALTY HOSPITAL008363 95675353532005 BUSTAMANTE ST 05/31/2022 05/11/2006 05/11/2006 01/27/2015 Current
LAREDO, TX 78041
LAS PALMAS MEDICAL CENTER A
CAMPUS OF LPDS HEALTHCARE
000180 91552117761801 NORTH OREGON STREET 06/30/2021 09/12/1964 09/12/1964 05/01/2020 Current
EL PASO, TX 79902
LAS PALMAS REHABILITATION
HOSPITAL A CAMPUS OF LPDS
HEALTHCARE
000180 9155772600300 WAYMORE 06/30/2021 11/17/2003 11/17/2003 07/03/2019 Current
EL PASO, TX 79902
LAVACA MEDICAL CENTER000527 36179836711400 NORTH TEXANA STREET 12/31/2021 02/01/1977 02/01/1977 11/16/2011 Current
HALLETTSVILLE, TX 77964
LEGENT HOSPITAL FOR SPECIAL
SURGERY
100224 97226510504100 MAPLESHADE LANE 11/30/2021 11/06/2013 11/06/2013 01/03/2019 Current
PLANO, TX 75075
LEGENT HOSPITAL OF EL PASO008608 91559842401416 GEORGE DIETER DRIVE 12/31/2021 01/01/2008 01/01/2008 05/15/2020 Current
Page 24 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
EL PASO, TX 79936
LEGENT ORTHOPEDIC + SPINE100324 21087780005330 NORTH LOOP 1604 WEST 08/31/2021 08/31/2015 08/31/2015 01/03/2019 Current
SAN ANTONIO, TX 78249
LEGENT ORTHOPEDIC HOSPITAL008742 97281007001401 E TRINITY MILLS RD 01/31/2021 08/19/2019 08/19/2019 04/21/2020 Current
CARROLLTON, TX 75006
LIBERTY DAYTON REGIONAL
MEDICAL CENTER
100300 93633673161353 NORTH TRAVIS 09/30/2020 10/01/2014 10/01/2014 10/01/2014 Current
LIBERTY, TX 77575
LIFECARE HOSPITALS OF DALLAS100197 21464096731950 RECORD CROSSING ROAD 05/31/2021 05/31/2013 05/31/2013 05/31/2013 Current
DALLAS, TX 75235
LIFECARE HOSPITALS OF FT WORTH100502 81737060786201 OVERTON RIDGE BOULEVARD 09/30/2021 09/30/2019 09/30/2019 09/30/2019 Current
FORT WORTH, TX 76132
LIFECARE HOSPITALS OF NORTH
TEXAS - DALLAS
100502 21464096001950 RECORD CROSSING ROAD 09/30/2021 09/30/2019 09/30/2019 01/03/2020 Current
DALLAS, TX 75235
LIFECARE HOSPITALS OF PLANO100502 21447388226800 PRESTON ROAD 09/30/2021 09/30/2019 09/30/2019 09/30/2019 Current
PLANO, TX 75024
LILLIAN M HUDSPETH MEMORIAL
HOSPITAL
000147 3253872521308 HUDSPETH AVENUE 12/31/2020 01/01/1960 01/01/1960 12/20/2010 Current
SONORA, TX 76950
LIMESTONE MEDICAL CENTER000052 2547293281701 MCCLINTIC 02/28/2021 02/23/1973 02/23/1973 01/28/2011 Current
GROESBECK, TX 76642
LONGVIEW REGIONAL MEDICAL
CENTER
000525 90375818182901 NORTH FOURTH STREET 01/31/2022 06/01/1980 06/01/1980 08/08/2017 Current
LONGVIEW, TX 75605
LUBBOCK HEART HOSPITAL100158 80668777774810 NORTH LOOP 289 06/30/2020 06/20/2012 06/20/2012 06/20/2012 Current
LUBBOCK, TX 79416
LUMBERTON HOSPITAL LLC100499 4092270520220 BLANCO STREET 12/31/2021 12/13/2019 12/13/2019 12/13/2019 Current
LUMBERTON, TX 77657
LYNN COUNTY HOSPITAL DISTRICT000192 80699845332600 LOCKWOOD 07/31/2021 01/04/1971 01/04/1971 08/01/1998 Current
TAHOKA, TX 79373
MARTIN COUNTY HOSPITAL
DISTRICT
100145 4326073200600 EAST I 20 04/30/2022 04/23/2012 04/23/2012 04/23/2012 Current
STANTON, TX 79782
Page 25 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
MATAGORDA REGIONAL MEDICAL
CENTER
100019 9792456383104 7TH STREET 07/31/2021 07/20/2009 07/20/2009 07/20/2009 Current
BAY CITY, TX 77414
MAYHILL HOSPITAL100088 94023930002809 MAYHILL ROAD 01/31/2021 01/13/2011 01/13/2011 11/22/2011 Current
DENTON, TX 76208
MCCAMEY HOSPITAL000240 43265286262500 HIGHWAY 305 SOUTH 05/31/2021 06/01/1967 06/01/1967 05/16/2019 Current
MCCAMEY, TX 79752
MEDICAL ARTS HOSPITAL100011 80687221832200 NORTH BRYAN AVENUE 05/31/2021 05/13/2009 05/13/2009 06/11/2018 Current
LAMESA, TX 79331
MEDICAL CENTER HOSPITAL000181 4326402413500 WEST 4TH STREET 11/30/2020 01/01/1960 01/01/1960 06/04/2013 Current
ODESSA, TX 79761
MEDICAL CITY ALLIANCE100288 81763911003101 NORTH TARRANT PARKWAY 02/28/2021 02/05/2015 02/05/2015 12/29/2017 Current
FORT WORTH, TX 76177
MEDICAL CITY ARLINGTON000502 81746532413301 MATLOCK ROAD 05/31/2021 06/29/1964 06/29/1964 05/15/2019 Current
ARLINGTON, TX 76015
MEDICAL CITY DALLAS HOSPITAL000340 97256660007777 FOREST LANE 05/31/2021 09/26/1974 09/26/1974 09/12/2019 Current
DALLAS, TX 75230
MEDICAL CITY DENTON000336 94038435353535 SOUTH I-35 EAST 05/31/2021 12/14/1973 12/14/1973 03/07/2017 Current
DENTON, TX 76210
MEDICAL CITY FORT WORTH000477 8173362100900 EIGHTH AVENUE 05/31/2020 06/02/1976 06/02/1976 12/13/2018 Current
FORT WORTH, TX 76104
MEDICAL CITY FRISCO A MEDICAL
CENTER OF PLANO FACILITY
000214 21461805005500 FRISCO SQUARE BLVD 05/31/2021 04/01/2016 04/01/2016 04/01/2016 Current
FRISCO, TX 75034
MEDICAL CITY HEART & SPINE
HOSPITALS
000340 972566621711970 NORTH CENTRAL
EXPRESSWAY
05/31/2021 09/12/2019 09/12/2019 09/12/2019 Current
DALLAS, TX 75243
MEDICAL CITY LAS COLINAS000814 97296920006800 NORTH MACARTHUR
BOULEVARD
07/31/2021 07/08/1997 07/08/1997 07/10/2019 Current
IRVING, TX 75039
MEDICAL CITY LEWISVILLE000394 4693702707500 WEST MAIN STREET 05/31/2021 02/28/1976 02/28/1976 03/27/2017 Current
LEWISVILLE, TX 75057
MEDICAL CITY MCKINNEY000246 97254780014500 MEDICAL CENTER DRIVE 05/31/2021 01/01/1960 01/01/1960 03/10/2017 Current
MCKINNEY, TX 75069
Page 26 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
MEDICAL CITY MCKINNEY -
WYSONG CAMPUS
000246 9725485300130 SOUTH CENTRAL EXPRESSWAY 05/31/2021 01/10/1990 01/10/1990 10/01/1990 Current
MCKINNEY, TX 75070
MEDICAL CITY NORTH HILLS000437 81725510004401 BOOTH CALLOWAY ROAD 05/31/2022 05/05/1961 05/05/1961 03/07/2017 Current
NORTH RICHLAND HILLS, TX 76180
MEDICAL CITY PLANO000214 97251911053901 WEST 15TH STREET 05/31/2021 12/31/1974 12/31/1974 01/15/2020 Current
PLANO, TX 75075
MEDICAL CITY WEATHERFORD100400 6825821000713 E ANDERSON ST 09/30/2021 10/01/2017 10/01/2017 10/01/2017 Current
WEATHERFORD, TX 76086
MEDINA REGIONAL HOSPITAL100046 83042678383100 AVENUE E 07/31/2021 07/27/2009 07/27/2009 07/27/2009 Current
HONDO, TX 78861
MEMORIAL HERMANN - TEXAS
MEDICAL CENTER
000347 71370440006411 FANNIN 11/30/2020 01/01/1960 01/01/1960 12/13/2019 Current
HOUSTON, TX 77030
MEMORIAL HERMANN CYPRESS
HOSPITAL
000347 346231400027800 NORTHWEST FREEWAY 11/30/2020 02/23/2017 02/23/2017 02/23/2017 Current
CYPRESS, TX 77433
MEMORIAL HERMANN GREATER
HEIGHTS HOSPITAL
000172 71386720001635 NORTH LOOP WEST 11/30/2021 11/29/1965 11/29/1965 10/14/2015 Current
HOUSTON, TX 77008
MEMORIAL HERMANN KATY
HOSPITAL
000534 281644700023900 KATY FREEWAY 09/30/2021 08/18/1981 08/18/1981 09/13/2019 Current
KATY, TX 77494
MEMORIAL HERMANN MEMORIAL
CITY MEDICAL CENTER
000302 7139323000921 GESSNER ROAD 12/31/2020 04/16/1971 04/16/1971 02/28/2019 Current
HOUSTON, TX 77024
MEMORIAL HERMANN NORTHEAST008471 281540770018951 MEMORIAL NORTH 12/31/2020 01/01/2007 01/01/2007 03/20/2019 Current
HUMBLE, TX 77338
MEMORIAL HERMANN ORTHOPEDIC
AND SPINE HOSPITAL
000347 71331444445410 WEST LOOP SOUTH 11/30/2020 04/11/2015 04/11/2015 04/11/2015 Current
BELLAIRE, TX 77401
MEMORIAL HERMANN PEARLAND
HOSPITAL
000119 713413658016100 SOUTH FREEWAY 11/30/2020 03/04/2016 03/04/2016 03/04/2016 Current
PEARLAND, TX 77584
MEMORIAL HERMANN
REHABILITATION HOSPITAL KATY
100009 281579567821720 KINGSLAND BLVD, SUITE 102 04/30/2021 04/29/2009 04/29/2009 04/22/2019 Current
Page 27 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
KATY, TX 77450
MEMORIAL HERMANN SOUTHEAST
HOSPITAL
000119 281929610011800 ASTORIA BOULEVARD 11/30/2020 11/30/1963 11/30/1963 08/27/2018 Current
HOUSTON, TX 77089
MEMORIAL HERMANN SOUTHWEST
HOSPITAL
000407 71345650007600 BEECHNUT 12/31/2021 12/22/1976 12/22/1976 10/04/2019 Current
HOUSTON, TX 77074
MEMORIAL HERMANN SPECIALTY
HOSPITAL KINGWOOD LLC
008591 2813124000300 KINGWOOD MEDICAL DRIVE 08/31/2021 08/31/2007 08/31/2007 07/12/2019 Current
KINGWOOD, TX 77339
MEMORIAL HERMANN SUGAR LAND000609 281725520217500 WEST GRAND PARKWAY
SOUTH
09/30/2020 08/01/1983 08/01/1983 11/06/2019 Current
SUGAR LAND, TX 77479
MEMORIAL HERMANN SURGICAL
HOSPITAL FIRST COLONY
100161 281243100016906 SOUTH WEST FREEWAY 09/30/2020 09/04/2012 09/04/2012 03/26/2014 Current
SUGAR LAND, TX 77479
MEMORIAL HERMANN THE
WOODLANDS MEDICAL CENTER
000615 71389723019250 PINECROFT 05/31/2022 01/21/1985 01/21/1985 08/29/2019 Current
THE WOODLANDS, TX 77380
MEMORIAL HOSPITAL000103 83067275811110 N SARAH DEWITT DRIVE PO
BOX 587
08/31/2020 01/01/1960 01/01/1960 09/01/1998 Current
GONZALES, TX 78629
MEMORIAL HOSPITAL000113 4327585811209 NW 8TH STREET 02/28/2022 01/01/1960 01/01/1960 02/09/2018 Current
SEMINOLE, TX 79360
MEMORIAL HOSPITAL000199 8069347801224 EAST SECOND STREET 09/30/2020 01/01/1960 01/01/1960 07/18/2018 Current
DUMAS, TX 79029
MEMORIAL MEDICAL CENTER000487 3615526713815 NORTH VIRGINIA STREET 01/31/2022 01/09/1960 01/09/1960 02/01/1998 Current
PORT LAVACA, TX 77979
MESQUITE REHABILITATION
INSTITUTE
100067 97221624001023 NORTH BELT LINE ROAD 08/31/2020 08/23/2010 08/23/2010 04/07/2016 Current
MESQUITE, TX 75149
MESQUITE SPECIALTY HOSPITAL008400 97221623001024 NORTH GALLOWAY AVENUE 09/30/2020 09/22/2006 09/22/2006 09/22/2006 Current
MESQUITE, TX 75149
METHODIST DALLAS MEDICAL
CENTER
000255 21494781811441 NORTH BECKLEY AVENUE 01/31/2022 01/01/1960 01/01/1960 11/25/2019 Current
DALLAS, TX 75203
Page 28 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
METHODIST AMBULATORY SURGERY
HOSPITAL-NORTHWEST
000681 21057550809150 HUEBNER ROAD SUITE 100 12/31/2021 01/06/1992 01/06/1992 07/26/2018 Current
SAN ANTONIO, TX 78240
METHODIST CHARLTON MEDICAL
CENTER
000142 21494777773500 WHEATLAND ROAD 11/30/2021 12/01/1975 12/01/1975 11/13/2019 Current
DALLAS, TX 75237
METHODIST HOSPITAL000154 21057540007700 FLOYD CURL DRIVE 01/31/2021 06/01/1963 06/01/1963 04/09/2020 Current
SAN ANTONIO, TX 78229
METHODIST HOSPITAL FOR
SURGERY
100075 469248390017101 DALLAS PARKWAY 10/31/2020 10/22/2010 10/22/2010 10/22/2010 Current
ADDISON, TX 75001
METHODIST HOSPITAL SOUTH100391 83076935151905 HIGHWAY 97 EAST 06/30/2021 07/01/2017 07/01/2017 07/01/2017 Current
JOURDANTON, TX 78026
METHODIST MANSFIELD MEDICAL
CENTER
008428 68224260002700 E BROAD ST 11/30/2020 11/29/2006 11/29/2006 10/30/2019 Current
MANSFIELD, TX 76063
METHODIST MCKINNEY HOSPITAL
LLC
100043 97256927008000 WEST ELDORADO PARKWAY 01/31/2022 01/21/2010 01/21/2010 09/26/2018 Current
MCKINNEY, TX 75070
METHODIST REHABILITATION
HOSPITAL
008620 97270886003020 WEST WHEATLAND ROAD 01/31/2022 01/18/2008 01/18/2008 08/27/2019 Current
DALLAS, TX 75237
METHODIST RICHARDSON MEDICAL
CENTER
100131 46920420002831 E PRESIDENT GEORGE BUSH
HWY
10/31/2021 10/01/2011 10/01/2011 01/14/2020 Current
RICHARDSON, TX 75082
METHODIST RICHARDSON MEDICAL
CENTER CAMPUS FOR CONTINUING
CARE
100131 4692042000401 WEST CAMPBELL ROAD 10/31/2021 10/01/2011 10/01/2011 04/28/2014 Current
RICHARDSON, TX 75080
METHODIST SOUTHLAKE HOSPITAL100360 8178654400421 E STATE HWY 114 05/31/2020 05/16/2016 05/16/2016 05/16/2016 Current
SOUTHLAKE, TX 76092
METHODIST SPECIALTY &
TRANSPLANT HOSPITAL
000154 21057581108026 FLOYD CURL DRIVE 01/31/2021 07/01/2002 07/01/2002 01/09/2019 Current
SAN ANTONIO, TX 78229
METHODIST STONE OAK HOSPITAL008741 21063820001139 EAST SONTERRA BLVD 01/31/2021 01/02/2009 01/02/2009 11/09/2017 Current
SAN ANTONIO, TX 78258
Page 29 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
METHODIST TEXSAN HOSPITAL, A
METHODIST HOSPITAL FACILITY
000154 21073680016700 IH-10 WEST 01/31/2021 01/31/2011 01/31/2011 01/31/2011 Current
SAN ANTONIO, TX 78201
METROPOLITAN METHODIST
HOSPITAL
000154 21075722001310 MCCULLOUGH AVENUE 01/31/2021 10/31/2001 10/31/2001 01/09/2019 Current
SAN ANTONIO, TX 78212
MID-JEFFERSON EXTENDED CARE
HOSPITAL
100341 40972687002600 HIGHWAY 365 12/31/2020 01/01/2015 01/01/2015 05/13/2019 Current
NEDERLAND, TX 77627
MID-JEFFERSON EXTENDED CARE
HOSPITAL OF BEAUMONT
100341 4097268700860 SOUTH EIGHTH STREET 12/31/2020 05/13/2019 05/13/2019 01/23/2020 Current
BEAUMONT, TX 77701
MIDLAND MEMORIAL HOSPITAL000452 4322211111400 ROSALIND REDFERN GROVER
PKWY
01/31/2021 01/08/1960 01/08/1960 02/06/2015 Current
MIDLAND, TX 79701
MISSION REGIONAL MEDICAL
CENTER
000370 9563239103900 SOUTH BRYAN ROAD 09/30/2021 01/01/1960 01/01/1960 10/09/2007 Current
MISSION, TX 78572
MISSION TRAIL BAPTIST HOSPITAL000114 21029736003333 RESEARCH PLAZA 12/31/2020 06/14/2011 06/14/2011 06/14/2011 Current
SAN ANTONIO, TX 78235
MITCHELL COUNTY HOSPITAL000075 3257283431997 WEST I-20 09/30/2020 01/01/1960 01/01/1960 10/01/1998 Current
COLORADO CITY, TX 79512
MUENSTER MEMORIAL HOSPITAL000365 9407592271605 NORTH MAPLE STREET PO BOX
370
07/31/2020 01/01/1964 01/01/1964 08/01/1998 Current
MUENSTER, TX 76252
MULESHOE AREA MEDICAL CENTER100303 8062724524708 SOUTH FIRST STREET 02/28/2021 03/01/2015 03/01/2015 03/01/2015 Current
MULESHOE, TX 79347
NACOGDOCHES MEDICAL CENTER000392 93656994814920 N. E. STALLINGS DRIVE 04/30/2021 01/29/1975 01/29/1975 05/31/2016 Current
NACOGDOCHES, TX 75965
NACOGDOCHES MEMORIAL
HOSPITAL
000478 93655951561204 NORTH MOUND STREET 12/31/2021 01/01/1960 01/01/1960 01/02/2020 Current
NACOGDOCHES, TX 75961
NAVARRO REGIONAL HOSPITAL000141 90365468053201 WEST HIGHWAY 22 01/31/2022 01/01/1960 01/01/1960 09/24/1999 Current
CORSICANA, TX 75110
NEW BRAUNFELS REGIONAL
REHABILITATION HOSPITAL
100101 83062567002041 SUNDANCE PARKWAY 07/31/2021 07/05/2011 07/05/2011 07/05/2011 Current
Page 30 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
NEW BRAUNFELS, TX 78130
NEW HORIZON HOSPITAL100483 713532731117506 RED OAK DR 09/30/2021 09/19/2019 09/19/2019 09/19/2019 Current
HOUSTON, TX 77090
NEXUS SPECIALTY HOSPITAL -THE
WOODLANDS LTD
000795 28136403179182 SIX PINES DRIVE 04/30/2022 04/10/1995 04/10/1995 05/01/1998 Current
THE WOODLANDS, TX 77380
NEXUS SPECIALTY HOSPITAL -THE
WOODLANDS LTD-SHENANDOAH
CAMPUS
000795 2813640317123 VISION PARK BLVD 04/30/2022 07/14/2005 07/14/2005 07/14/2005 Current
SHENANDOAH, TX 77384
NOCONA GENERAL HOSPITAL000348 9408253235100 PARK ROAD 04/30/2021 04/23/1974 04/23/1974 04/10/2019 Current
NOCONA, TX 76255
NORTH AUSTIN MEDICAL CENTER008299 512901252912221 MOPAC EXPRESSWAY NORTH 06/30/2021 07/01/2005 07/01/2005 05/01/2020 Current
AUSTIN, TX 78758
NORTH CENTRAL BAPTIST
HOSPITAL
000114 2102974600520 MADISON OAK 12/31/2020 09/01/2006 09/01/2006 12/27/2010 Current
SAN ANTONIO, TX 78258
NORTH CENTRAL SURGICAL CENTER
LLP
008606 21426528109301 NORTH CENTRAL
EXPRESSWAY #100
12/31/2021 12/21/2007 12/21/2007 12/23/2019 Current
DALLAS, TX 75231
NORTH HOUSTON SURGICAL
HOSPITAL
100512 832855301617400 RED OAK DRIVE 01/31/2022 02/01/2020 02/01/2020 03/11/2020 Current
HOUSTON, TX 77090
NORTH RUNNELS HOSPITAL000151 32575445537821 EAST HIGHWAY 153 11/30/2020 11/08/1973 11/08/1973 12/01/1998 Current
WINTERS, TX 79567
NORTH TEXAS MEDICAL CENTER100453 94066517511900 HOSPITAL BOULEVARD 11/30/2020 12/01/2018 12/01/2018 12/06/2018 Current
GAINESVILLE, TX 76240
NORTHEAST BAPTIST HOSPITAL000114 21029726008811 VILLAGE DRIVE 12/31/2020 09/01/2006 09/01/2006 12/27/2010 Current
SAN ANTONIO, TX 78217
NORTHEAST METHODIST HOSPITAL000154 210757700012412 JUDSON ROAD 01/31/2021 07/01/2002 07/01/2002 01/09/2019 Current
SAN ANTONIO, TX 78233
NORTHWEST HILLS SURGICAL
HOSPITAL
000794 51234619946818 AUSTIN CENTER BOULEVARD 03/31/2021 03/20/1995 03/20/1995 03/25/2019 Current
AUSTIN, TX 78731
NORTHWEST TEXAS HOSPITAL000318 80635410001501 S COULTER ROAD 05/31/2021 01/01/1960 01/01/1960 01/22/2019 Current
AMARILLO, TX 79106
Page 31 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
NORTHWEST TEXAS SURGERY
CENTER
000318 80635979993501 SONCY ROAD SUITE 118 05/31/2021 07/01/2015 07/01/2015 07/01/2015 Current
AMARILLO, TX 79119
OAKBEND MEDICAL CENTER000230 281341200022003 SOUTHWEST FREEWAY 05/31/2021 10/16/2009 10/16/2009 10/16/2009 Current
RICHMOND, TX 77469
OAKBEND MEDICAL CENTER000230 28134130001705 JACKSON STREET 05/31/2021 01/01/1960 01/01/1960 05/13/2019 Current
RICHMOND, TX 77469
OAKBEND MEDICAL CENTER -
WHARTON HOSPITAL CAMPUS
000230 281341481210141 HWY 59 ROAD 05/31/2021 04/27/2018 04/27/2018 04/27/2018 Current
WHARTON, TX 77488
OCHILTREE GENERAL HOSPITAL000098 80643536063101 GARRETT DRIVE 12/31/2021 12/15/1966 12/15/1966 01/01/1999 Current
PERRYTON, TX 79070
ODESSA REGIONAL MEDICAL
CENTER
000425 4325828000520 EAST SIXTH STREET 10/31/2020 04/15/1975 04/15/1975 06/12/2015 Current
ODESSA, TX 79761
ODESSA REGIONAL MEDICAL
CENTER SOUTH CAMPUS
000425 4325828000900 E 4TH STREET 10/31/2020 06/12/2015 06/12/2015 06/12/2015 Current
ODESSA, TX 79761
OTTO KAISER MEMORIAL HOSPITAL000357 83058334013349 S HIGHWAY 181 09/30/2020 09/15/1975 09/15/1975 10/01/1998 Current
KENEDY, TX 78119
OUR CHILDRENS HOUSE100383 21486767001340 EMPIRE CENTRAL DRIVE 02/28/2021 02/10/2017 02/10/2017 02/10/2017 Current
DALLAS, TX 75247
PALACIOS COMMUNITY MEDICAL
CENTER
000574 3619722511311 GREEN AVENUE 01/31/2021 02/16/1960 02/16/1960 12/08/2010 Current
PALACIOS, TX 77465
PALESTINE REGIONAL MEDICAL
CENTER
000629 90373111842900 SOUTH LOOP 256 09/30/2020 12/14/1987 12/14/1987 03/07/2016 Current
PALESTINE, TX 75801
PALESTINE REGIONAL MEDICAL
CENTER - REHAB & PSYCHIATRIC
CAMPUS
000629 90373110004000 SOUTH LOOP 256 09/30/2020 11/25/2002 11/25/2002 10/18/2001 Current
PALESTINE, TX 75801
PALO PINTO GENERAL HOSPITAL000034 9403257891400 SOUTHWEST 25TH AVENUE 07/31/2021 07/30/1970 07/30/1970 03/11/2014 Current
MINERAL WELLS, TX 76067
PAM REHABILITATION HOSPITAL OF
ALLEN
100203 97290820001001 RAINTREE CIRCLE 04/30/2021 04/08/2013 04/08/2013 04/13/2016 Current
Page 32 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ALLEN, TX 75013
PAM REHABILITATION HOSPITAL OF
BEAUMONT
100353 40983508353340 PLAZA 10 BOULEVARD 05/31/2020 06/01/2016 06/01/2016 06/01/2016 Current
BEAUMONT, TX 77707
PAM REHABILITATION HOSPITAL OF
CLEAR LAKE
100301 8322249500110 EAST MEDICAL CENTER
BOULEVARD
05/31/2021 05/07/2015 05/07/2015 08/29/2019 Current
WEBSTER, TX 77598
PAM REHABILITATION HOSPITAL OF
CLEAR LAKE - NORTH CAMPUS
100301 2812861500655 E MEDICAL CENTER BLVD 05/31/2021 07/31/2019 07/31/2019 07/31/2019 Current
WEBSTER, TX 77598
PAM REHABILITATION HOSPITAL OF
CORPUS CHRISTI
100423 3615000600345 S WATER ST 03/31/2022 03/29/2018 03/29/2018 03/29/2018 Current
CORPUS CHRISTI, TX 78401
PAM REHABILITATION HOSPITAL OF
HUMBLE
100301 281964660018839 MCKAY BLVD 05/31/2021 07/31/2019 07/31/2019 07/31/2019 Current
HUMBLE, TX 77338
PAM REHABILITATION HOSPITAL OF
ROUND ROCK
100451 7377089800351 SETON PARKWAY 11/30/2020 11/05/2018 11/05/2018 11/05/2018 Current
ROUND ROCK, TX 78665
PAM REHABILITATION HOSPITAL OF
VICTORIA
100229 3618947830101 JAMES COLEMAN DRIVE 12/31/2021 12/19/2013 12/19/2013 04/13/2016 Current
VICTORIA, TX 77904
PAM SPECIALTY HOSPITAL OF
CORPUS CHRISTI BAYFRONT
100280 3615000565345 S WATER ST 3RD FLOOR 11/30/2020 04/12/2018 04/12/2018 01/22/2019 Current
CORPUS CHRISTI, TX 78401
PAM SPECIALTY HOSPITAL OF
CORPUS CHRISTI NORTH
100280 3618813223600 ELIZABETH STREET 3RD
FLOOR
11/30/2020 11/03/2014 11/03/2014 04/12/2018 Current
CORPUS CHRISTI, TX 78404
PAM SPECIALTY HOSPITAL OF
LUFKIN
100442 93689973501201 W FRANK AVE 5TH AND 6TH
FLOORS
06/30/2020 07/01/2018 07/01/2018 07/24/2018 Current
LUFKIN, TX 75904
PAM SPECIALTY HOSPITAL OF
LULING
008482 8308758400200 MEMORIAL DRIVE 12/31/2020 12/17/2006 12/17/2006 04/13/2016 Current
LULING, TX 78648
PAM SPECIALTY HOSPITAL OF NEW
BRAUNFELS
100124 83062776001445 HANZ DRIVE 08/31/2021 08/17/2011 08/17/2011 04/13/2016 Current
NEW BRAUNFELS, TX 78130
Page 33 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
PAM SPECIALTY HOSPITAL OF SAN
ANTONIO
100381 21060046005418 N LOOP 1604 WEST 01/31/2021 01/20/2017 01/20/2017 01/20/2017 Current
SAN ANTONIO, TX 78249
PAM SPECIALTY HOSPITAL OF SAN
ANTONIO MEDICAL CENTER
100496 71773196608902 FLOYD CURL DRIVE 09/30/2021 09/30/2019 09/30/2019 09/30/2019 Current
SAN ANTONIO, TX 78240
PAM SPECIALTY HOSPITAL OF
TEXARKANA NORTH
100278 90361476002400 ST MICHAEL DRIVE 2ND
FLOOR
11/30/2020 11/03/2014 11/03/2014 01/29/2018 Current
TEXARKANA, TX 75503
PAM SPECIALTY HOSPITAL OF
VICTORIA NORTH
008481 3615766200102 MEDICAL DRIVE 12/31/2020 12/13/2006 12/13/2006 12/30/2019 Current
VICTORIA, TX 77904
PAM SPECIALTY HOSPITAL OF
VICTORIA SOUTH
100219 3614857300506 EAST SAN ANTONIO STREET
3RD FLOOR
09/30/2021 09/25/2013 09/25/2013 04/13/2016 Current
VICTORIA, TX 77901
PAM SPECIALTY HOSPITAL OF
VICTORIA SOUTHEAST
008481 36123719572701 HOSPITAL DR 6TH FLOOR 12/31/2020 09/18/2019 09/18/2019 09/18/2019 Current
VICTORIA, TX 77901
PAMPA REGIONAL MEDICAL
CENTER
100154 8066653721ONE MEDICAL PLAZA 06/30/2020 06/08/2012 06/08/2012 02/26/2019 Current
PAMPA, TX 79065
PARIS REGIONAL MEDICAL CENTER
NORTH CAMPUS
000095 9037854521865 DESHONG DRIVE 12/31/2020 08/05/2001 08/05/2001 11/30/2018 Current
PARIS, TX 75460
PARKLAND MEMORIAL HOSPITAL000474 21459003565200 - 5201 HARRY HINES
BOULEVARD
06/30/2021 06/10/1960 06/10/1960 08/23/2019 Current
DALLAS, TX 75235
PARKVIEW HOSPITAL000116 8068265581901 SWEETWATER STREET 05/31/2021 05/10/1965 05/10/1965 05/02/2019 Current
WHEELER, TX 79096
PARKVIEW REGIONAL HOSPITAL000505 2545625332600 SOUTH BONHAM 06/30/2020 01/16/1963 01/16/1963 07/01/1998 Current
MEXIA, TX 76667
PARMER MEDICAL CENTER000200 80625027541307 CLEVELAND STREET 02/28/2021 01/01/1960 01/01/1960 01/31/2011 Current
FRIONA, TX 79035
PECOS COUNTY MEMORIAL
HOSPITAL
000356 4323364201387 WEST I H 10 07/31/2021 01/01/1960 01/01/1960 02/26/2019 Current
FORT STOCKTON, TX 79735
Page 34 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
PERMIAN REGIONAL MEDICAL
CENTER
000187 4324642103720 HOSPITAL DRIVE 05/31/2022 06/25/1962 06/25/1962 08/16/2016 Current
ANDREWS, TX 79714
PETERSON REGIONAL MEDICAL
CENTER
008642 8308964200551 HILL COUNTRY DRIVE 04/30/2022 04/08/2008 04/08/2008 04/08/2008 Current
KERRVILLE, TX 78028
PHYSICIANS SURGICAL
HOSPITAL-PANHANDLE CAMPUS
008529 80621202477100 WEST 9TH AVENUE 06/30/2021 06/01/2007 06/01/2007 06/01/2007 Current
AMARILLO, TX 79106
PHYSICIANS SURGICAL
HOSPITAL-QUAIL CREEK CAMPUS
008529 80635461006819 PLUM CREEK DRIVE 06/30/2021 06/01/2007 06/01/2007 03/27/2019 Current
AMARILLO, TX 79124
PLAINS MEMORIAL HOSPITAL000260 8066472191310 WEST HALSELL 05/31/2021 05/08/1964 05/08/1964 04/12/2019 Current
DIMMITT, TX 79027
PLANO SURGICAL HOSPITAL100501 97282026002301 MARSH LANE 11/30/2021 11/25/2019 11/25/2019 11/25/2019 Current
PLANO, TX 75093
PREMIER SPECIALTY HOSPITAL OF
EL PASO
100308 91554518232311 NORTH OREGON STREET 03/31/2021 04/01/2015 04/01/2015 04/17/2019 Current
EL PASO, TX 79902
PROVIDENCE HOSPITAL000301 9566935000230 CALLE DEL NORTE 05/31/2022 06/29/2007 06/29/2007 05/20/2020 Current
LAREDO, TX 78041
RANKIN COUNTY HOSPITAL
DISTRICT
100311 43269312001611 SPUR 576 (BROADWAY
STREET)
07/31/2021 07/06/2015 07/06/2015 05/30/2019 Current
RANKIN, TX 79778
REAGAN MEMORIAL HOSPITAL100367 32588425611300 N MAIN AVE 09/30/2020 09/16/2016 09/16/2016 12/07/2018 Current
BIG LAKE, TX 76932
REBA MCENTIRE CENTER FOR
REHABILITATION
008470 90341610001200 REBA MCENTIRE LANE 12/31/2020 01/01/2007 01/01/2007 01/03/2011 Current
DENISON, TX 75020
REEVES COUNTY HOSPITAL000367 43244735512323 TEXAS STREET 11/30/2020 02/21/1978 02/21/1978 01/08/2004 Current
PECOS, TX 79772
REFUGIO COUNTY MEMORIAL
HOSPITAL DISTRICT
000368 3615262321107 SWIFT STREET 09/30/2021 01/01/1960 01/01/1960 01/14/2020 Current
REFUGIO, TX 78377
REHAB CENTER AT RENAISSANCE007971 95636263255403 DOCTORS DRIVE 07/31/2020 02/21/2006 02/21/2006 07/17/2018 Current
EDINBURG, TX 78539
Page 35 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
RESOLUTE HEALTH100255 8305006602555 CREEKSIDE CROSSING 04/30/2022 04/24/2014 04/24/2014 04/24/2014 Current
NEW BRAUNFELS, TX 78130
RICE MEDICAL CENTER100136 9792345571600 SOUTH AUSTIN ROAD 12/31/2021 12/01/2009 12/01/2009 03/09/2012 Current
EAGLE LAKE, TX 77434
RIO GRANDE REGIONAL HOSPITAL000601 9566326000101 E RIDGE ROAD 12/31/2021 09/13/1982 09/13/1982 05/01/2019 Current
MCALLEN, TX 78503
RIVER OAKS HOSPITALS & CLINICS100344 71333038874200 TWELVE OAKS DRIVE 01/31/2022 10/22/2019 10/22/2019 10/22/2019 Current
HOUSTON, TX 77027
ROLLING PLAINS MEMORIAL
HOSPITAL
000471 3252351701200 EAST ARIZONA 05/31/2022 06/01/1976 06/01/1976 09/19/2016 Current
SWEETWATER, TX 79556
ROUND ROCK MEDICAL CENTER000608 51234110002400 ROUND ROCK AVENUE 04/30/2021 08/31/1983 08/31/1983 06/09/2015 Current
ROUND ROCK, TX 78681
SABINE COUNTY HOSPITAL008645 40978733002301 WORTH ST 02/28/2022 02/25/2008 02/25/2008 02/27/2020 Current
HEMPHILL, TX 75948
SAGECREST HOSPITAL GRAPEVINE008742 81728813004201 WILLIAM D TATE AVENUE 01/31/2021 08/31/2008 08/31/2008 10/31/2019 Current
GRAPEVINE, TX 76051
SAINT CAMILLUS MEDICAL CENTER100361 81751937001612 HURST TOWN CENTER DR 07/31/2020 07/19/2016 07/19/2016 07/19/2016 Current
HURST, TX 76054
SAN ANGELO COMMUNITY MEDICAL
CENTER
000056 32594995113501 KNICKERBOCKER ROAD 01/31/2021 01/25/1978 01/25/1978 01/12/2011 Current
SAN ANGELO, TX 76904
SCENIC MOUNTAIN MEDICAL
CENTER, A STEWARD FAMILY
HOSPITAL
100463 43226849031601 WEST ELEVENTH PLACE 04/30/2021 04/13/2019 04/13/2019 04/13/2019 Current
BIG SPRING, TX 79720
SCHLEICHER COUNTY MEDICAL
CENTER
100184 3258532507102 NORTH HIGHWAY 277 02/28/2021 02/06/2013 02/06/2013 02/06/2013 Current
ELDORADO, TX 76936
SE TEXAS ER AND HOSPITAL100004 281883550019211 MCKAY BLVD 04/30/2021 04/09/2009 04/09/2009 04/18/2019 Current
HUMBLE, TX 77338
SELECT REHABILITATION HOSPITAL
OF DENTON
008715 94029765002620 SCRIPTURE STREET 11/30/2020 11/05/2008 11/05/2008 11/05/2008 Current
DENTON, TX 76201
SELECT REHABILITATION HOSPITAL
OF SAN ANTONIO
100047 210482340019126 STONEHUE 02/28/2022 02/08/2010 02/08/2010 02/08/2010 Current
Page 36 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
SAN ANTONIO, TX 78258
SELECT SPECIALTY HOSPITAL -
DALLAS
000672 46989214002329 PARKER RD 07/31/2021 03/28/1991 03/28/1991 07/19/2019 Current
CARROLLTON, TX 75010
SELECT SPECIALTY HOSPITAL -
DALLAS (DOWNTOWN)
100276 97222700933500 GASTON AVENUE 3RD AND
4TH FLOORS
11/30/2020 11/10/2014 11/10/2014 03/09/2017 Current
DALLAS, TX 75246
SELECT SPECIALTY
HOSPITAL-LONGVIEW, INC.
007946 9033151105700 EAST MARSHALL AVENUE 1ST
AND GROUND FLOORS
05/31/2021 05/20/2003 05/20/2003 05/06/2019 Current
LONGVIEW, TX 75601
SETON MEDICAL CENTER HARKER
HEIGHTS
100149 2546900900850 WEST CENTRAL TEXAS
EXPRESSWAY
05/31/2022 05/07/2012 05/07/2012 05/07/2012 Current
HARKER HEIGHTS, TX 76548
SEYMOUR HOSPITAL000546 9408895572200 STADIUM DRIVE 11/30/2021 08/10/1969 08/10/1969 10/15/2019 Current
SEYMOUR, TX 76380
SHAMROCK GENERAL HOSPITAL000571 80625621141000 SOUTH MAIN 02/28/2022 06/01/1968 06/01/1968 03/01/1998 Current
SHAMROCK, TX 79079
SHANNON MEDICAL CENTER ST
JOHNS CAMPUS
000168 32565367412018 PULLIAM STREET 08/31/2021 01/01/1999 01/01/1999 08/05/2019 Current
SAN ANGELO, TX 76905
SHANNON WEST TEXAS MEMORIAL
HOSPITAL
000168 3256536741120 EAST HARRIS AVENUE 08/31/2021 01/01/1960 01/01/1960 08/21/2019 Current
SAN ANGELO, TX 76903
SHRINERS HOSPITAL FOR CHILDREN
- GALVESTON
000247 4097706600815 MARKET STREET 03/31/2022 03/20/1966 03/20/1966 04/01/1998 Current
GALVESTON, TX 77550
SHRINERS HOSPITALS FOR CHILDREN000526 71379337006977 MAIN STREET 11/30/2021 01/05/1960 01/05/1960 11/06/2019 Current
HOUSTON, TX 77030
SOLARA SPECIALTY HOSPITALS
HARLINGEN
008407 9564259600508 VICTORIA LANE 10/31/2020 10/06/2006 10/06/2006 03/08/2019 Current
HARLINGEN, TX 78550
SOLARA SPECIALTY HOSPITALS
HARLINGEN - BROWNSVILLE
008407 9565460808333 LORENALY DRIVE 10/31/2020 09/30/2007 09/30/2007 06/26/2019 Current
BROWNSVILLE, TX 78520
SOLARA SPECIALTY HOSPITALS
MCALLEN
100298 9566324880301 WEST EXPRESSWAY 83 8TH
FLOOR
01/31/2021 02/01/2015 02/01/2015 03/08/2019 Current
MCALLEN, TX 78503
Page 37 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
SOUTH PLAINS REHAB HOSPITAL,
AN AFFILIATE OF UMC AND
ENCOMPASS
100461 80650735005406 COLGATE STREET 05/31/2021 05/06/2019 05/06/2019 05/06/2019 Current
LUBBOCK, TX 79416
SOUTH TEXAS HEALTH SYSTEM
BEHAVIORAL
000140 95638813002102 WEST TRENTON ROAD 02/28/2021 10/01/2007 10/01/2007 02/16/2011 Current
EDINBURG, TX 78503
SOUTH TEXAS HEALTH SYSTEM
EDINBURG
000140 95638860001102 WEST TRENTON ROAD 02/28/2021 02/04/1969 02/04/1969 03/13/2020 Current
EDINBURG, TX 78539
SOUTH TEXAS HEALTH SYSTEM
HEART
000140 95699420001900 SOUTH D STREET 02/28/2021 10/01/2007 10/01/2007 02/16/2011 Current
MCALLEN, TX 78503
SOUTH TEXAS HEALTH SYSTEM
MCALLEN
000140 9566324000301 WEST EXPRESSWAY 83 02/28/2021 10/01/2007 10/01/2007 02/16/2011 Current
MCALLEN, TX 78503
SOUTH TEXAS REHABILITATION
HOSPITAL
008211 9565546000425 EAST ALTON GLOOR
BOULEVARD
03/31/2021 04/01/2005 04/01/2005 03/02/2011 Current
BROWNSVILLE, TX 78526
SOUTH TEXAS SPINE & SURGICAL
HOSPITAL
007868 210507409118600 NORTH HARDY OAK
BOULEVARD
08/31/2021 08/26/2002 08/26/2002 08/26/2002 Current
SAN ANTONIO, TX 78258
SOUTH TEXAS SURGICAL HOSPITAL100040 36199320006130 PARKWAY DRIVE 11/30/2021 11/19/2009 11/19/2009 11/19/2009 Current
CORPUS CHRISTI, TX 78413
SOUTHWEST GENERAL HOSPITAL000228 21092120007400 BARLITE BOULEVARD 10/31/2021 05/04/1979 05/04/1979 10/11/2017 Current
SAN ANTONIO, TX 78224
ST DAVIDS GEORGETOWN HOSPITAL
A ST DAVIDS MEDICAL CENTER
FACILI
000035 51294330002000 SCENIC DRIVE 04/30/2022 10/29/2008 10/29/2008 04/23/2020 Current
GEORGETOWN, TX 78626
ST DAVIDS MEDICAL CENTER000035 5124767111919 EAST 32ND STREET 04/30/2022 01/01/1960 01/01/1960 04/23/2020 Current
AUSTIN, TX 78705
ST DAVIDS REHABILITATION
HOSPITAL, A ST DAVIDS MEDICAL
CENTER
000035 51254451001005 EAST 32ND STREET 04/30/2022 01/15/2013 01/15/2013 01/15/2013 Current
AUSTIN, TX 78705
Page 38 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
ST DAVIDS SOUTH AUSTIN MEDICAL
CENTER
000602 5124472211901 WEST BEN WHITE BOULEVARD 04/30/2021 09/07/1982 09/07/1982 05/01/2019 Current
AUSTIN, TX 78704
ST DAVIDS SURGICAL HOSPITAL A
CAMPUS OF NORTH AUSTIN
MEDICAL CTR
008299 51290110001201 W LOUIS HENNA BLVD 06/30/2021 09/23/2016 09/23/2016 09/23/2016 Current
AUSTIN, TX 78681
ST JOSEPH MEDICAL CENTER008386 71375650071401 ST JOSEPH PARKWAY 08/31/2020 08/20/2006 08/20/2006 09/25/2019 Current
HOUSTON, TX 77002
ST JOSEPH REGIONAL HEALTH
CENTER
000002 97977637772801 FRANCISCAN DRIVE 01/31/2021 04/15/1971 04/15/1971 02/05/2019 Current
BRYAN, TX 77802
ST LUKES BAPTIST HOSPITAL000114 21029756007930 FLOYD CURL DRIVE 12/31/2020 09/01/2006 09/01/2006 12/27/2010 Current
SAN ANTONIO, TX 78229
ST LUKES HOSPITAL AT THE
VINTAGE
100235 832534510020171 CHASEWOOD PARK DR 12/31/2021 12/31/2013 12/31/2013 12/31/2013 Current
HOUSTON, TX 77070
ST LUKES LAKESIDE HOSPITAL LLC100035 936266911017400 ST LUKES WAY 09/30/2021 09/18/2009 09/18/2009 09/18/2009 Current
THE WOODLANDS, TX 77384
ST LUKES PATIENTS MEDICAL
CENTER
100081 71394870004600 EAST SAM HOUSTON
PARKWAY SOUTH
10/31/2020 10/29/2010 10/29/2010 12/27/2010 Current
PASADENA, TX 77505
ST LUKES SUGAR LAND HOSPITAL100134 28163770001317 LAKE POINTE PARKWAY 02/28/2022 02/09/2012 02/09/2012 03/21/2012 Current
SUGAR LAND, TX 77478
ST LUKES THE WOODLANDS
HOSPITAL
007931 936266200017200 ST LUKES WAY 03/31/2022 03/10/2003 03/10/2003 07/22/2019 Current
THE WOODLANDS, TX 77384
ST MARKS MEDICAL CENTER008234 9792422102ONE ST MARKS PLACE 06/30/2021 07/01/2005 07/01/2005 07/01/2005 Current
LA GRANGE, TX 78945
ST MICHAELS ELITE HOSPITAL100488 281980435716000 SOUTHWEST FREEWAY SUITE
100
08/31/2021 08/31/2019 08/31/2019 08/31/2019 Current
SUGAR LAND, TX 77479
STARR COUNTY MEMORIAL
HOSPITAL
000393 9564875561128 NORTH FM ROAD 3167 08/31/2020 02/05/1975 02/05/1975 03/17/2006 Current
RIO GRANDE CITY, TX 78582
STAT SPECIALTY HOSPITAL100465 83049830002600 VETERANS BLVD 05/31/2021 05/15/2019 05/15/2019 05/15/2019 Current
Page 39 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
DEL RIO, TX 78840
STAT SPECIALTY HOSPITAL OF
LAREDO
100493 95679130002502 NE BOB BULLOCK LOOP 11/30/2021 11/14/2019 11/14/2019 11/14/2019 Current
LAREDO, TX 78045
STEPHENS MEMORIAL HOSPITAL100221 2545592241200 SOUTH GENEVA 09/30/2021 10/01/2013 10/01/2013 10/01/2013 Current
BRECKENRIDGE, TX 76424
STONEWALL MEMORIAL HOSPITAL000666 9409893551821 N BROADWAY 11/30/2021 09/16/1965 09/16/1965 12/01/1998 Current
ASPERMONT, TX 79502
SUGARLAND REHAB HOSPITAL100447 28176690027622 BRANFORD PL 09/30/2020 09/26/2018 09/26/2018 09/26/2018 Current
SUGAR LAND, TX 77479
SURGERY SPECIALTY HOSPITALS OF
AMERICA SOUTHEAST HOUSTON
006941 71337830004301-B VISTA 04/30/2022 04/16/1999 04/16/1999 08/11/2004 Current
PASADENA, TX 77504
SWEENY COMMUNITY HOSPITAL000178 9795481598305 NORTH MCKINNEY STREET 09/30/2021 03/29/1965 03/29/1965 10/01/1998 Current
SWEENY, TX 77480
SWISHER MEMORIAL HOSPITAL100122 8069953581539 SE 2ND ST 06/30/2021 06/01/2011 12/07/2011 06/20/2019 Current
TULIA, TX 79088
TEXAS CHILDRENS HOSPITAL000117 83282410006621 FANNIN STREET 01/31/2022 01/01/1960 01/01/1960 01/16/2020 Current
HOUSTON, TX 77030
TEXAS CHILDRENS HOSPITAL THE
WOODLANDS
000117 936267500017600 INTERSTATE 45 SOUTH 01/31/2022 03/22/2017 03/22/2017 03/22/2017 Current
THE WOODLANDS, TX 77384
TEXAS CHILDRENS HOSPITAL WEST
CAMPUS
000117 832227100018200 KATY FREEWAY 01/31/2022 02/21/2011 02/21/2011 02/21/2011 Current
HOUSTON, TX 77094
TEXAS GENERAL HOSPITAL100115 46999900002709 HOSPITAL BLVD 11/30/2019 11/07/2011 11/07/2011 08/09/2018 Suspended
GRAND PRAIRIE, TX 75051
TEXAS HEALTH ARLINGTON
MEMORIAL HOSPITAL
000422 8179606535800 WEST RANDOL MILL ROAD 07/31/2021 01/06/1960 01/06/1960 02/27/2004 Current
ARLINGTON, TX 76012
TEXAS HEALTH CENTER FOR
DIAGNOSTICS & SURGERY PLANO
008153 97240327006020 WEST PARKER ROAD 12/31/2021 12/31/2004 12/31/2004 12/31/2004 Current
PLANO, TX 75093
TEXAS HEALTH HARRIS METHODIST
HOSPITAL ALLIANCE
100162 682212200010864 TEXAS HEALTH TRAIL 09/30/2020 09/05/2012 09/05/2012 09/26/2017 Current
FT WORTH, TX 76244
Page 40 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
TEXAS HEALTH HARRIS METHODIST
HOSPITAL AZLE
000469 8174448600108 DENVER TRAIL 10/31/2020 05/05/1961 05/05/1961 11/01/1998 Current
AZLE, TX 76020
TEXAS HEALTH HARRIS METHODIST
HOSPITAL CLEBURNE
000323 8176412551201 WALLS DRIVE 05/31/2022 01/01/1960 01/01/1960 06/01/1998 Current
CLEBURNE, TX 76033
TEXAS HEALTH HARRIS METHODIST
HOSPITAL FORT WORTH
000235 81725020001301 PENNSYLVANIA AVENUE 02/28/2022 01/01/1960 01/01/1960 03/05/2018 Current
FORT WORTH, TX 76104
TEXAS HEALTH HARRIS METHODIST
HOSPITAL HURST-EULESS-BEDFORD
000182 81784846021600 HOSPITAL PARKWAY 05/31/2021 03/27/1973 03/27/1973 06/07/2019 Current
BEDFORD, TX 76022
TEXAS HEALTH HARRIS METHODIST
HOSPITAL SOUTHLAKE
008128 81774887801545 SOUTHLAKE BLVD 10/31/2021 10/07/2004 10/07/2004 08/25/2016 Current
SOUTHLAKE, TX 76092
TEXAS HEALTH HARRIS METHODIST
HOSPITAL SOUTHWEST FORT
WORTH
000627 81743350006100 HARRIS PARKWAY 03/31/2022 10/20/1987 10/20/1987 03/16/2020 Current
FORT WORTH, TX 76132
TEXAS HEALTH HARRIS METHODIST
HOSPITAL STEPHENVILLE
000256 2549651500411 N BELKNAP STREET 03/31/2021 01/01/1960 01/01/1960 03/28/2011 Current
STEPHENVILLE, TX 76401
TEXAS HEALTH HEART & VASCULAR
HOSPITAL ARLINGTON
100073 8179603500811 WRIGHT STREET 10/31/2020 10/13/2010 10/13/2010 10/10/2018 Current
ARLINGTON, TX 76012
TEXAS HEALTH HOSPITAL
CLEARFORK
000627 81743370105400 CLEARFORK MAIN ST 03/31/2022 05/25/2016 05/25/2016 05/25/2016 Current
FORT WORTH, TX 76109
TEXAS HEALTH HOSPITAL FRISCO100500 469495200012400 DALLAS PARKWAY 12/31/2021 12/13/2019 12/13/2019 12/13/2019 Current
FRISCO, TX 75033
TEXAS HEALTH HOSPITAL
ROCKWALL
008599 46969810003150 HORIZON ROAD 12/31/2021 12/06/2007 12/06/2007 03/05/2020 Current
ROCKWALL, TX 75032
TEXAS HEALTH HUGULEY
HOSPITAL
100157 817293911011801 SOUTH FREEWAY 05/31/2022 05/01/2012 05/01/2012 03/11/2020 Current
BURLESON, TX 76028
Page 41 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
TEXAS HEALTH PRESBYTERIAN
HOSPITAL ALLEN
007242 97274710001105 CENTRAL EXPRESSWAY
NORTH SUITE 140
11/30/2021 11/13/2000 11/13/2000 10/10/2019 Current
ALLEN, TX 75013
TEXAS HEALTH PRESBYTERIAN
HOSPITAL DALLAS
000431 21434567898200 WALNUT HILL LANE 03/31/2022 04/01/1966 04/01/1966 06/01/2015 Current
DALLAS, TX 75231
TEXAS HEALTH PRESBYTERIAN
HOSPITAL DENTON
008208 94089871913000 I-35 03/31/2021 04/01/2005 04/01/2005 01/22/2007 Current
DENTON, TX 76201
TEXAS HEALTH PRESBYTERIAN
HOSPITAL FLOWER MOUND
100056 46932270004400 LONG PRAIRIE ROAD 04/30/2022 04/22/2010 04/22/2010 04/21/2020 Current
FLOWER MOUND, TX 75028
TEXAS HEALTH PRESBYTERIAN
HOSPITAL KAUFMAN
000303 9729327200850 ED HALL DRIVE 12/31/2020 01/01/1960 01/01/1960 12/21/2010 Current
KAUFMAN, TX 75142
TEXAS HEALTH PRESBYTERIAN
HOSPITAL PLANO
000664 97298180006200 WEST PARKER ROAD 12/31/2021 01/01/1991 01/01/1991 01/03/2020 Current
PLANO, TX 75093
TEXAS HEALTH SPECIALTY
HOSPITAL FORT WORTH
000652 81725055001301 PENNSYLVANIA AVENUE 4TH
FLOOR
09/30/2021 09/14/1989 09/14/1989 10/01/1998 Current
FORT WORTH, TX 76104
TEXAS INSTITUTE FOR SURGERY AT
TEXAS HEALTH PRESBYTERIAN
DALLAS
008131 21464753007115 GREENVILLE AVENUE 10/31/2020 10/29/2004 10/29/2004 10/29/2004 Current
DALLAS, TX 75231
TEXAS NEUROREHAB CENTER000622 51244448351106 WEST DITTMAR BUILDING 9 10/31/2021 08/18/1986 08/18/1986 04/06/2011 Current
AUSTIN, TX 78745
TEXAS ORTHOPEDIC HOSPITAL000792 71379434987401 SOUTH MAIN 02/28/2021 02/07/1995 02/07/1995 01/07/2011 Current
HOUSTON, TX 77030
TEXAS REHABILITATION HOSPITAL
OF ARLINGTON
100307 6823046000900 W ARBROOK BLVD 06/30/2021 06/22/2015 06/22/2015 06/22/2015 Current
ARLINGTON, TX 76015
TEXAS REHABILITATION HOSPITAL
OF FORT WORTH
100095 8178203400425 ALABAMA AVENUE 03/31/2021 04/11/2011 04/11/2011 08/13/2013 Current
FORT WORTH, TX 76104
TEXAS RURAL HOSPITALS100392 2815925410300 EAST CROCKETT 07/31/2021 07/03/2017 07/03/2017 11/27/2018 Current
CLEVELAND, TX 77327
Page 42 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
TEXAS SCOTTISH RITE HOSPITAL
FOR CHILDREN
000054 21455950002222 WELBORN STREET 12/31/2021 12/28/1977 12/28/1977 01/01/1998 Current
DALLAS, TX 75219
TEXOMA MEDICAL CENTER008470 90341640005016 SOUTH US HIGHWAY 75 12/31/2020 12/23/2009 12/29/2009 02/26/2019 Current
DENISON, TX 75020
THE COLONY ER HOSPITAL100398 21446925004780 STATE HWY 121 09/30/2021 09/20/2017 09/20/2017 09/20/2017 Current
THE COLONY, TX 75056
THE CORPUS CHRISTI MEDICAL
CENTER - BAY AREA
000703 36176112007101 SOUTH PADRE ISLAND DRIVE 09/30/2020 09/15/1993 09/15/1993 10/04/2018 Current
CORPUS CHRISTI, TX 78412
THE CORPUS CHRISTI MEDICAL
CENTER - DOCTORS REGIONAL
000703 36176114003315 SOUTH ALAMEDA 09/30/2020 06/01/1998 06/01/1998 10/04/2018 Current
CORPUS CHRISTI, TX 78411
THE CORPUS CHRISTI MEDICAL
CENTER - NORTHWEST
000703 361767430013725 NORTHWEST BLVD 09/30/2020 08/01/2004 08/01/2004 10/04/2018 Current
CORPUS CHRISTI, TX 78410
THE CORPUS CHRISTI MEDICAL
CENTER - THE HEART HOSPITAL
000703 36176168007002 WILLIAMS DRIVE 09/30/2020 06/01/1998 06/01/1998 10/04/2018 Current
CORPUS CHRISTI, TX 78413
THE HEIGHTS HOSPITAL100448 71357468121917 ASHLAND ST SUITE 300 09/30/2020 09/27/2018 09/27/2018 08/30/2019 Current
HOUSTON, TX 77008
THE HOSPITAL AT WESTLAKE
MEDICAL CENTER
008228 51232700005656 BEE CAVES ROAD STE M-302 06/30/2021 06/13/2005 06/13/2005 06/13/2005 Current
AUSTIN, TX 78746
THE HOSPITALS OF PROVIDENCE
EAST CAMPUS
008650 91583220003280 JOE BATTLE BOULEVARD 05/31/2020 05/06/2008 05/06/2008 08/28/2015 Current
EL PASO, TX 79938
THE HOSPITALS OF PROVIDENCE
HORIZON CITY CAMPUS
100395 915407787813600 HORIZON BOULEVARD SUITE
100
08/31/2021 08/28/2017 08/28/2017 10/08/2018 Current
HORIZON CITY, TX 79928
THE HOSPITALS OF PROVIDENCE
MEMORIAL CAMPUS
000130 91557760112001 NORTH OREGON STREET 09/30/2021 01/01/1960 01/01/1960 08/31/2015 Current
EL PASO, TX 79902
THE HOSPITALS OF PROVIDENCE
NORTHEAST CAMPUS
100395 281292245011274 MCCOMBS STREET 08/31/2021 10/08/2018 10/08/2018 10/08/2018 Current
EL PASO, TX 79934
Page 43 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
THE HOSPITALS OF PROVIDENCE
SIERRA CAMPUS
000266 91574740001625 MEDICAL CENTER DRIVE 11/30/2021 12/04/1975 12/04/1975 02/26/2020 Current
EL PASO, TX 79902
THE HOSPITALS OF PROVIDENCE
SPINE & PAIN MANAGEMENT
CENTER
000266 91574713001755 CURIE DRIVE SUITE A 11/30/2021 02/12/2020 02/12/2020 02/12/2020 Current
EL PASO, TX 79902
THE HOSPITALS OF PROVIDENCE
TRANSMOUNTAIN CAMPUS
100376 91587781362000 TRANSMOUNTAIN RD 11/30/2020 11/15/2016 11/15/2016 04/01/2020 Current
EL PASO, TX 79911
THE MEDICAL CENTER OF
SOUTHEAST TEXAS
000464 40985359022555 JIMMY JOHNSON BLVD 07/31/2021 01/05/1960 01/05/1960 03/19/2018 Current
PORT ARTHUR, TX 77640
THE MEDICAL CENTER OF
SOUTHEAST TEXAS BEAUMONT
CAMPUS
000464 40985359026025 METROPOLITAN DR 07/31/2021 09/19/2015 09/19/2015 09/19/2015 Current
BEAUMONT, TX 77706
THE PAVILION000318 80635411107201 EVANS 05/31/2021 07/11/1993 07/11/1993 12/09/2008 Current
AMARILLO, TX 79106
THE PHYSICIANS CENTRE HOSPITAL007175 97973139303131 UNIVERSITY DRIVE EAST 05/31/2022 05/03/2000 05/03/2000 04/20/2020 Current
BRYAN, TX 77802
THE WOMANS HOSPITAL OF TEXAS000007 71379012347600 FANNIN STREET 02/28/2022 06/01/1976 06/01/1976 07/17/2017 Current
HOUSTON, TX 77054
THROCKMORTON COUNTY
MEMORIAL HOSPITAL
000428 9408492151802 NORTH MINTER AVENUE 12/31/2021 01/01/1960 01/01/1960 01/01/1998 Current
THROCKMORTON, TX 76483
TIRR MEMORIAL HERMANN100189 71379950001333 MOURSUND STREET 01/31/2021 01/02/2013 03/04/2013 03/28/2014 Current
HOUSTON, TX 77030
TITUS REGIONAL MEDICAL CENTER000137 90357760002001 NORTH JEFFERSON 01/31/2022 01/01/1960 01/01/1960 02/01/1998 Current
MOUNT PLEASANT, TX 75455
TMC BEHAVIORAL HEALTH CENTER008470 90341630002601 CORNERSTONE DRIVE 12/31/2020 01/01/2007 01/01/2007 01/03/2011 Current
SHERMAN, TX 75090
TMC BONHAM HOSPITAL100191 9035838585504 LIPSCOMB 01/31/2021 01/01/2013 01/01/2013 01/10/2019 Current
BONHAM, TX 75418
TOPS SURGICAL SPECIALTY
HOSPITAL
000674 281943740017080 RED OAK DRIVE 09/30/2021 04/08/1991 04/08/1991 05/24/2016 Current
Page 44 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
HOUSTON, TX 77090
TOWNSEN MEMORIAL HOSPITAL100396 28136990011475 FM 1960 BYPASS E 06/30/2021 07/01/2017 07/01/2017 07/01/2017 Current
HUMBLE, TX 77338
TRINITY HOSPITAL100403 71346110009430 OLD KATY ROAD SUITE 100 10/31/2021 10/27/2017 10/27/2017 10/27/2017 Current
HOUSTON, TX 77055
TRUSTED MEDICAL CENTERS
MANSFIELD
100466 81722548101710 HWY 287 N SUITE 300 05/31/2021 05/30/2019 05/30/2019 05/30/2019 Current
MANSFIELD, TX 76063
TRUSTPOINT REHABILITATION
HOSPITAL OF LUBBOCK
100330 80674922224302 PRINCETON STREET 06/30/2021 06/16/2015 06/16/2015 03/28/2017 Current
LUBBOCK, TX 79415
TYLER CONTINUE CARE HOSPITAL008065 9035314943800 E DAWSON 4TH FLOOR 05/31/2022 05/14/2004 05/14/2004 03/01/2007 Current
TYLER, TX 75701
TYLER COUNTY HOSPITAL000569 40928364001100 WEST BLUFF STREET 08/31/2020 02/15/1960 02/15/1960 09/01/1998 Current
WOODVILLE, TX 75979
UNITED MEMORIAL MEDICAL
CENTER
008450 2816188505510 WEST TIDWELL ROAD 06/30/2020 06/30/2006 06/30/2006 02/13/2020 Current
HOUSTON, TX 77091
UNITED MEMORIAL MEDICAL
CENTER - NORTH HOSPITAL
008450 281453711016750 RED OAK DR 06/30/2020 09/01/2019 09/01/2019 09/01/2019 Current
HOUSTON, TX 77090
UNITED MEMORIAL MEDICAL
CENTER - SPRING HOSPITAL
008450 832855301620635 KUYKENDAHL RD 06/30/2020 10/01/2019 10/01/2019 10/01/2019 Current
SPRING, TX 77379
UNITED MEMORIAL MEDICAL
CENTER - SUGAR LAND HOSPITAL
008450 28123839001211 HWY 6 #70 06/30/2020 10/25/2019 10/25/2019 10/25/2019 Current
SUGAR LAND, TX 77478
UNITED REGIONAL HEALTH CARE
SYSTEM
000417 94076470001600 11TH STREET 05/31/2022 01/22/1998 01/22/1998 05/23/2019 Current
WICHITA FALLS, TX 76301
UNIVERSITY HOSPITAL000158 21035840004502 MEDICAL DRIVE 10/31/2021 11/01/1968 11/01/1968 04/22/2014 Current
SAN ANTONIO, TX 78229
UNIVERSITY MEDICAL CENTER000145 8067758200602 INDIANA AVENUE 11/30/2020 11/10/1977 11/10/1977 11/14/2018 Current
LUBBOCK, TX 79415
UNIVERSITY MEDICAL CENTER OF
EL PASO
000263 91554412004815 ALAMEDA AVENUE 02/28/2022 03/01/1963 03/01/1963 02/26/2020 Current
Page 45 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
EL PASO, TX 79905
USMD HOSPITAL AT ARLINGTON007990 8174723400801 WEST I-20 09/30/2021 09/24/2003 09/24/2003 09/05/2019 Current
ARLINGTON, TX 76017
UT HEALTH EAST TEXAS ATHENS
HOSPITAL
100426 90367610002000 SOUTH PALESTINE STREET 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
ATHENS, TX 75751
UT HEALTH EAST TEXAS
BEHAVIORAL HEALTH CENTER
100433 90326622004101 UNIVERSITY BLVD 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
TYLER, TX 75701
UT HEALTH EAST TEXAS CARTHAGE
HOSPITAL
100427 9036933841409 COTTAGE ROAD 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
CARTHAGE, TX 75633
UT HEALTH EAST TEXAS
HENDERSON HOSPITAL
100428 9036577541300 WILSON STREET 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
HENDERSON, TX 75652
UT HEALTH EAST TEXAS
JACKSONVILLE HOSPITAL
100429 9035415083501 SOUTH RAGSDALE STREET 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
JACKSONVILLE, TX 75766
UT HEALTH EAST TEXAS LONG
TERM ACUTE CARE
100437 90359636001000 S BECKHAM AVENUE 5TH
FLOOR
02/28/2022 03/01/2018 03/01/2018 05/24/2019 Current
TYLER, TX 75701
UT HEALTH EAST TEXAS
PITTSBURG HOSPITAL
100430 90394655002701 US HIGHWAY 271 NORTH 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
PITTSBURG, TX 75686
UT HEALTH EAST TEXAS QUITMAN
HOSPITAL
100431 9037636300117 N WINNSBORO STREET 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
QUITMAN, TX 75783
UT HEALTH EAST TEXAS
REHABILITATION HOSPITAL
100436 9035963258701 OLYMPIC PLAZA CIRCLE 02/28/2022 03/01/2018 03/01/2018 03/01/2018 Current
TYLER, TX 75701
UT HEALTH EAST TEXAS TYLER
REGIONAL HOSPITAL
100433 90359703511000 SOUTH BECKHAM AVENUE 02/28/2022 03/01/2018 03/01/2018 10/01/2019 Current
TYLER, TX 75701
UVALDE MEMORIAL HOSPITAL000063 83027862511025 GARNER FIELD ROAD 06/30/2020 01/01/1960 01/01/1960 04/26/2016 Current
UVALDE, TX 78801
VAL VERDE REGIONAL MEDICAL
CENTER
000462 8307758566801 BEDELL AVENUE 01/31/2021 01/13/1960 01/13/1960 01/20/2011 Current
Page 46 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
DEL RIO, TX 78840
VALLEY BAPTIST MEDICAL CENTER100104 95638916742101 PEASE ST 09/30/2021 09/01/2011 09/01/2011 10/22/2019 Current
HARLINGEN, TX 78550
VALLEY BAPTIST MEDICAL CENTER
- BROWNSVILLE
100105 95669854211040 W JEFFERSON ST 09/30/2021 09/01/2011 09/01/2011 08/29/2019 Current
BROWNSVILLE, TX 78520
VALLEY BAPTIST MICRO-HOSPITAL
WESLACO
100104 95638917361021 W INTERSTATE 2 09/30/2021 10/22/2019 10/22/2019 10/22/2019 Current
WESLACO, TX 78596
VALLEY REGIONAL MEDICAL
CENTER
000019 9563507000100A E ALTON GLOOR BLVD 04/30/2022 06/13/1975 06/13/1975 03/11/2020 Current
BROWNSVILLE, TX 78526
VIBRA HOSPITAL OF AMARILLO100222 80646770007501 WALLACE BLVD 08/31/2021 09/01/2013 09/01/2013 01/28/2020 Current
AMARILLO, TX 79124
VIBRA HOSPITAL OF RICHARDSON100118 4693297300401 WEST CAMPBELL ROAD SUITE
300
11/30/2021 05/12/2016 05/12/2016 05/12/2016 Current
RICHARDSON, TX 75080
VIBRA REHABILITATION HOSPITAL
OF AMARILLO
100223 80646829007200 W 9TH STREET 08/31/2021 09/01/2013 09/01/2013 09/01/2013 Current
AMARILLO, TX 79106
VIBRA SPECIALTY HOSPITAL100118 97229811002700 WALKER WAY 11/30/2021 11/29/2011 11/29/2011 05/12/2016 Current
DESOTO, TX 75115
W J MANGOLD MEMORIAL
HOSPITAL
000010 8066523373320 NORTH MAIN STREET 08/31/2021 01/01/1960 01/01/1960 07/25/2019 Current
LOCKNEY, TX 79241
WADLEY REGIONAL MEDICAL
CENTER
100002 90379880001000 PINE 02/28/2021 03/01/2009 03/01/2009 12/11/2015 Current
TEXARKANA, TX 75501
WARD MEMORIAL HOSPITAL000468 4329432511406 SOUTH GARY STREET 04/30/2021 01/01/1960 01/01/1960 03/10/2004 Current
MONAHANS, TX 79756
WARM SPRINGS REHABILITATION
HOSPITAL OF KYLE
100261 51226208215980 KYLE PARKWAY 06/30/2022 06/26/2014 06/26/2014 06/26/2014 Current
KYLE, TX 78640
WARM SPRINGS REHABILITATION
HOSPITAL OF SAN ANTONIO
008446 21061601005101 MEDICAL DRIVE 11/30/2020 12/01/2006 12/01/2006 04/24/2012 Current
SAN ANTONIO, TX 78229
Page 47 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
WARM SPRINGS REHABILITATION
HOSPITAL OF THOUSAND OAKS
008446 210581530014747 JONES MALTSBERGER ROAD 11/30/2020 03/01/2012 03/01/2012 04/01/2012 Current
SAN ANTONIO, TX 78247
WARM SPRINGS REHABILITATION
HOSPITAL OF WESTOVER HILLS
008446 210422879110323 STATE HWY 151 11/30/2020 04/24/2012 04/24/2012 04/24/2012 Current
SAN ANTONIO, TX 78251
WEATHERFORD REHABILITATION
HOSPITAL LLC
100328 6828030100703 EUREKA ST 10/31/2021 10/05/2015 10/05/2015 10/05/2015 Current
WEATHERFORD, TX 76086
WESLACO REGIONAL
REHABILITATION HOSPITAL
100297 9569692222906 SOUTH JAMES STREET 02/28/2021 02/27/2015 02/27/2015 02/27/2015 Current
WESLACO, TX 78596
WILBARGER GENERAL HOSPITAL000084 9405529351920 HILLCREST DRIVE 06/30/2021 06/12/1969 06/12/1969 04/24/2019 Current
VERNON, TX 76384
WILSON N JONES REGIONAL
MEDICAL CENTER
100066 9038704611500 N HIGHLAND AVE 04/30/2022 04/14/2010 04/14/2010 01/14/2020 Current
SHERMAN, TX 75092
WINKLER COUNTY MEMORIAL
HOSPITAL
100399 4325868299821 JEFFEE DRIVE 09/30/2021 10/01/2017 10/01/2017 10/03/2017 Current
KERMIT, TX 79745
WINNIE COMMUNITY HOSPITAL
LLC
007814 4092966375538 BROADWAY 12/31/2021 12/12/2001 12/12/2001 12/06/2019 Current
WINNIE, TX 77665
WISE HEALTH SURGICAL HOSPITAL100335 94029328857218 CRAWFORD ROAD 01/31/2022 07/10/2018 07/10/2018 07/10/2018 Current
ARGYLE, TX 76226
WISE HEALTH SURGICAL HOSPITAL100335 81750273003200 NORTH TARRANT PARKWAY 01/31/2022 01/04/2016 01/04/2016 07/10/2018 Current
FORT WORTH, TX 76177
WISE HEALTH SYSTEM000254 94062640012000 SOUTH FM 51 12/31/2020 09/05/1974 09/05/1974 12/21/2010 Current
DECATUR, TX 76234
WISE HEALTH SYSTEM000254 9406275921609 MEDICAL CENTER DRIVE 12/31/2020 05/13/2002 05/13/2002 07/19/2018 Current
DECATUR, TX 76234
WOMENS HOSPITAL AT
RENAISSANCE
007971 95636256015502 SOUTH MC COLL 07/31/2020 09/14/2007 09/14/2007 07/17/2018 Current
EDINBURG, TX 78539
WOODLAND HEIGHTS MEDICAL
CENTER
000481 9366378501505 SOUTH JOHN REDDITT DRIVE 12/31/2021 01/19/1960 01/19/1960 12/16/2013 Current
Page 48 of 495/22/2020
License Type Code: 6810 - Rank Code: ALL - Status Code(s): 20,40,45,47 - Mdf: G,S
Profession Roster Report
Order By Name
Hospitals
LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName
LUFKIN, TX 75904
WOODLANDS SPECIALTY HOSPITAL
PLLC
100265 281602816025440 I 45 NORTH 08/31/2020 08/11/2014 08/11/2014 08/11/2014 Current
THE WOODLANDS, TX 77386
YOAKUM COMMUNITY HOSPITAL000023 36129323211200 CARL RAMERT DRIVE 08/31/2020 01/01/1960 01/01/1960 01/14/2020 Current
YOAKUM, TX 77995
YOAKUM COUNTY HOSPITAL000485 8065922121412 MUSTANG AVENUE 10/31/2020 01/20/1960 01/20/1960 11/01/1998 Current
DENVER CITY, TX 79323
TOTAL - 640
Page 49 of 495/22/2020