Provider Demographics
NPI:1972516755
Name:PLANNED PARENTHOOD ASSOC OF HIALGO COUNTY TX INC
Entity type:Organization
Organization Name:PLANNED PARENTHOOD ASSOC OF HIALGO COUNTY TX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-688-3707
Mailing Address - Street 1:916 E HACKBERRY
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-688-3700
Mailing Address - Fax:
Practice Address - Street 1:RT 2 BOX 218J FM RD 1015 MILE 3 1/2
Practice Address - Street 2:
Practice Address - City:PROGRESSO
Practice Address - State:TX
Practice Address - Zip Code:78596
Practice Address - Country:US
Practice Address - Phone:956-514-2454
Practice Address - Fax:956-618-3718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00T31Z207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0084423509Medicare ID - Type Unspecified
TX00T312Medicare UPIN