Provider Demographics
NPI:1699519777
Name:IV DANO HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:IV DANO HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:ALCALA
Authorized Official - Last Name:DANO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, MSN, FNP-C
Authorized Official - Phone:956-789-6276
Mailing Address - Street 1:4502 SANTA INEZ ST # TEXAS78
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-0539
Mailing Address - Country:US
Mailing Address - Phone:956-789-6276
Mailing Address - Fax:
Practice Address - Street 1:4502 SANTA INEZ ST # TEXAS78
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0539
Practice Address - Country:US
Practice Address - Phone:956-789-6276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty