Provider Demographics
NPI:1992701478
Name:PLANNED PARENTHOOD ASSOCIATION OF CAMERON & WILLACY COUNTIES, INC.
Entity type:Organization
Organization Name:PLANNED PARENTHOOD ASSOCIATION OF CAMERON & WILLACY COUNTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-425-7526
Mailing Address - Street 1:1005 W HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6018
Mailing Address - Country:US
Mailing Address - Phone:956-425-7526
Mailing Address - Fax:956-425-3340
Practice Address - Street 1:712 N 77 SUNSHINESTRIP
Practice Address - Street 2:STE 18
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8897
Practice Address - Country:US
Practice Address - Phone:956-423-8584
Practice Address - Fax:956-423-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2286207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21669Medicare UPIN
TX00U98EMedicare ID - Type UnspecifiedGROUP NUMBER