1336593128 NPI number — SOUTH TEXAS WELLNESS CENTER LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336593128 NPI number — SOUTH TEXAS WELLNESS CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH TEXAS WELLNESS CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336593128
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1108 S 1ST 1/2 ST
Provider Second Line Business Mailing Address:
NONE
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78501-1149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-381-2747
Provider Business Mailing Address Fax Number:
956-928-9464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1700 W DOVE AVE UNIT 80
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78504-4462
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-467-5920
Provider Business Practice Location Address Fax Number:
956-928-9464
Provider Enumeration Date:
04/18/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROSAS-RAMIREZ
Authorized Official First Name:
JORGE
Authorized Official Middle Name:
ENRIQUE
Authorized Official Title or Position:
MANAGER-OWNER
Authorized Official Telephone Number:
956-467-5920

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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