Provider Demographics
NPI:1194903237
Name:SOUTH TEXAS ELDERLY SERVICES, INC
Entity type:Organization
Organization Name:SOUTH TEXAS ELDERLY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMUNDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-843-2643
Mailing Address - Street 1:500 E RAMON AYALA DR
Mailing Address - Street 2:
Mailing Address - City:HIDALGO
Mailing Address - State:TX
Mailing Address - Zip Code:78557-2691
Mailing Address - Country:US
Mailing Address - Phone:956-843-2643
Mailing Address - Fax:956-843-2288
Practice Address - Street 1:500 E RAMON AYALA DR
Practice Address - Street 2:
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557-2691
Practice Address - Country:US
Practice Address - Phone:956-843-2643
Practice Address - Fax:956-843-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122232261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care