MEDICARE: PLANNED PARENTHOOD ASSOCIATION OF CAMERON AND WILLACY COUNTIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician
2	261QF0050X	Non-Surgical Family Planning Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760573000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD ASSOCIATION OF CAMERON AND WILLACY COUNTIES

Provider Business Mailing Address
First Line	:	104 BABCOCK RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3806
Country	:	US
Telephone Number	:	210-736-2244
Fax Number	:	210-736-0011

Provider Business Practice Location Address
First Line	:	1028 S 14TH ST
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-6422
Country	:	US
Telephone Number	:	361-592-2649
Fax Number	:	361-595-4618

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MS. CYNTHIA R. CONTRERAS
Credential	:	RN
Telephone Number	:	956-453-1799

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	05/09/2011

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Directions to “PLANNED PARENTHOOD ASSOCIATION OF CAMERON AND WILLACY COUNTIES ” Practice Location

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