Healthcare Provider Details
I. General information
NPI: 1235275082
Provider Name (Legal Business Name): COMMUNITY ACTION, INC. OF CENTRAL TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2007
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 BOIS DARC ST
LOCKHART TX
78644-2058
US
IV. Provider business mailing address
PO BOX 748
SAN MARCOS TX
78667-0748
US
V. Phone/Fax
- Phone: 512-398-3494
- Fax: 512-398-6904
- Phone: 512-392-1161
- Fax: 512-392-3530
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLE
A.
BELVER
Title or Position: EXECUTIVE DIRECTOR
Credential: M.ED.
Phone: 512-392-1161