Provider Demographics
NPI:1144601824
Name:SOUTH TEXAS MOBILE
Entity Type:Organization
Organization Name:SOUTH TEXAS MOBILE
Other - Org Name:SOUTH TEXAS MOBILE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:361-834-3366
Mailing Address - Street 1:500 N WATER ST STE 515
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-0213
Mailing Address - Country:US
Mailing Address - Phone:361-834-3366
Mailing Address - Fax:
Practice Address - Street 1:500 N WATER ST STE 515
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-0213
Practice Address - Country:US
Practice Address - Phone:361-834-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health