Healthcare Provider Details

I. General information

NPI: 1609916485
Provider Name (Legal Business Name): SAN PATRICIO COUNTY DEPARTMENT OF PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N FRIO ST
MATHIS TX
78368-1915
US

IV. Provider business mailing address

313 N RACHAL ST
SINTON TX
78387-2663
US

V. Phone/Fax

Practice location:
  • Phone: 361-547-3328
  • Fax: 361-547-7428
Mailing address:
  • Phone: 361-364-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY SIMPSON
Title or Position: COUNTY JUDGE
Credential:
Phone: 361-364-6120