Healthcare Provider Details

I. General information

NPI: 1225192651
Provider Name (Legal Business Name): HOLISTIC MIND INSTITUTE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 W EXPRESSWAY 83 STE 4
PHARR TX
78577-6516
US

IV. Provider business mailing address

1210 W EXPRESSWAY 83 STE 4
PHARR TX
78577-6516
US

V. Phone/Fax

Practice location:
  • Phone: 956-782-5525
  • Fax: 956-782-5500
Mailing address:
  • Phone: 956-782-5525
  • Fax: 956-782-5500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number116787
License Number StateTX

VIII. Authorized Official

Name: MS. REBECCA HERNANDEZ
Title or Position: PRESIDENT
Credential: R.N.
Phone: 956-782-5525