Provider Demographics
NPI:1114371978
Name:LA SOLUCION FAMILIAR OF TX
Entity Type:Organization
Organization Name:LA SOLUCION FAMILIAR OF TX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-223-4571
Mailing Address - Street 1:1100 MATAMOROS ST FL 2
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5005
Mailing Address - Country:US
Mailing Address - Phone:919-223-4571
Mailing Address - Fax:
Practice Address - Street 1:1100 MATAMOROS ST FL 2
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5005
Practice Address - Country:US
Practice Address - Phone:919-223-4571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty