Healthcare Provider Details

I. General information

NPI: 1053451831
Provider Name (Legal Business Name): SAN PATRICIO COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 06/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 NORTH RACHAL
SINTON TX
78387
US

IV. Provider business mailing address

313 NORTH RACHAL
SINTON TX
78387
US

V. Phone/Fax

Practice location:
  • Phone: 361-364-6208
  • Fax: 361-364-6207
Mailing address:
  • Phone: 361-364-6208
  • Fax: 361-364-6207

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: JAMES MOBLEY
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 361-643-4546