Healthcare Provider Details
I. General information
NPI: 1700997475
Provider Name (Legal Business Name): HIDALGO COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1304 S 25TH AVE
EDINBURG TX
78539-7205
US
IV. Provider business mailing address
1304 S 25TH AVE
EDINBURG TX
78539-7205
US
V. Phone/Fax
- Phone: 956-383-6221
- Fax: 956-383-8864
- Phone: 956-383-6221
- Fax: 956-383-8864
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
EDUARDO
OLIVAREZ
Title or Position: CHIEF ADMINISTRATOR
Credential:
Phone: 956-383-6221