Provider Demographics
NPI:1194180067
Name:DORA A. ARIZMENDI
Entity type:Organization
Organization Name:DORA A. ARIZMENDI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIZMENDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-243-2845
Mailing Address - Street 1:1805 RUBEN M. TORRES
Mailing Address - Street 2:STE C1
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521
Mailing Address - Country:US
Mailing Address - Phone:956-243-2845
Mailing Address - Fax:844-270-3380
Practice Address - Street 1:1805 RUBEN M. TORRES
Practice Address - Street 2:STE C1
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521
Practice Address - Country:US
Practice Address - Phone:956-243-2845
Practice Address - Fax:844-270-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143150261QA0600X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care