Healthcare Provider Details
I. General information
NPI: 1700657632
Provider Name (Legal Business Name): ADVOCATING FOR CLASS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2024
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5410 BELL ST BLDG A
AMARILLO TX
79109-6222
US
IV. Provider business mailing address
4423 SHADOWDALE DR
HOUSTON TX
77041-8718
US
V. Phone/Fax
- Phone: 806-437-6556
- Fax: 806-356-7122
- Phone: 713-466-6872
- Fax: 713-477-9547
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROL
S
NUNEZ PARKER
Title or Position: OWNER
Credential: OTR
Phone: 832-724-5172