Healthcare Provider Details

I. General information

NPI: 1750786919
Provider Name (Legal Business Name): COMMUNITY ACTION INC. OF CENTRAL TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2014
Last Update Date: 10/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 DACY LN
KYLE TX
78640-6322
US

IV. Provider business mailing address

PO BOX 748
SAN MARCOS TX
78667-0748
US

V. Phone/Fax

Practice location:
  • Phone: 512-392-5816
  • Fax:
Mailing address:
  • Phone: 512-392-1161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberN8507
License Number StateTX

VIII. Authorized Official

Name: CAROLE BELVER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 512-392-1161