Provider Demographics
NPI:1154625515
Name:FIRST CHOICE PHC SERVICES
Entity type:Organization
Organization Name:FIRST CHOICE PHC SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTORATE
Authorized Official - Phone:956-683-7677
Mailing Address - Street 1:1801 S 5TH ST
Mailing Address - Street 2:STE 117 B
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-2927
Mailing Address - Country:US
Mailing Address - Phone:956-683-7677
Mailing Address - Fax:956-683-7451
Practice Address - Street 1:1801 S 5TH ST
Practice Address - Street 2:STE 117 B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-2927
Practice Address - Country:US
Practice Address - Phone:956-683-7677
Practice Address - Fax:956-683-7451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health