Provider Demographics
NPI:1285811034
Name:WALGIN INDUSTRIES INC
Entity type:Organization
Organization Name:WALGIN INDUSTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:WALLACE
Authorized Official - Middle Name:V
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-386-2869
Mailing Address - Street 1:206 JEANETTE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7308
Mailing Address - Country:US
Mailing Address - Phone:210-386-2869
Mailing Address - Fax:
Practice Address - Street 1:206 JEANETTE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7308
Practice Address - Country:US
Practice Address - Phone:210-386-2869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health