Healthcare Provider Details

I. General information

NPI: 1669630372
Provider Name (Legal Business Name): ONSITE NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 E. GRAVIS ST.
SAN DIEGO TX
78384
US

IV. Provider business mailing address

806 E. GRAVIS ST.
SAN DIEGO TX
78384
US

V. Phone/Fax

Practice location:
  • Phone: 361-279-7722
  • Fax: 361-279-7721
Mailing address:
  • Phone: 361-279-7722
  • Fax: 361-279-7721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELLEY ESTRADA
Title or Position: LVN/ADMINISTRATOR
Credential: LVN
Phone: 361-279-7722