Provider Demographics
NPI:1124323068
Name:PROFESSIONAL SOLUTIONS
Entity type:Organization
Organization Name:PROFESSIONAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:806-382-8028
Mailing Address - Street 1:2812 STEVES WAY
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118
Mailing Address - Country:US
Mailing Address - Phone:806-382-8028
Mailing Address - Fax:
Practice Address - Street 1:2812 STEVES WAY
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118
Practice Address - Country:US
Practice Address - Phone:806-382-8028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management