Provider Demographics
NPI:1053451831
Name:SAN PATRICIO COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:SAN PATRICIO COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-643-4546
Mailing Address - Street 1:313 NORTH RACHAL
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387
Mailing Address - Country:US
Mailing Address - Phone:361-364-6208
Mailing Address - Fax:361-364-6207
Practice Address - Street 1:313 NORTH RACHAL
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387
Practice Address - Country:US
Practice Address - Phone:361-364-6208
Practice Address - Fax:361-364-6207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132818909OtherTPI FAMILY PLANNING
TX132818904OtherTPI IMMUNIZATION OUTREACH