Healthcare Provider Details
I. General information
NPI: 1548340011
Provider Name (Legal Business Name): SOUTH TEXAS FAMILY PLANNING & HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2006
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4455 S PADRE ISLAND DR SUITE #29
CORPUS CHRISTI TX
78411-5101
US
IV. Provider business mailing address
4455 S PADRE ISLAND DR SUITE #29
CORPUS CHRISTI TX
78411-5101
US
V. Phone/Fax
- Phone: 361-855-7333
- Fax: 361-851-2067
- Phone: 361-855-7333
- Fax: 361-851-2067
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | 45D0716424 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | 45D0716424 |
| License Number State | TX |
VIII. Authorized Official
Name: MS.
MARTHA
F.
ZUNIGA
Title or Position: EXECUTIVE DIRECTOR
Credential: M.P.A.
Phone: 361-855-7333