Provider Demographics
NPI:1174667455
Name:EXCEL...RISE ABOVE THE REST
Entity Type:Organization
Organization Name:EXCEL...RISE ABOVE THE REST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:RODRIGUEZ
Authorized Official - Last Name:HOLGUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-977-9555
Mailing Address - Street 1:916 SIMS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78225-2366
Mailing Address - Country:US
Mailing Address - Phone:210-977-9555
Mailing Address - Fax:210-977-9992
Practice Address - Street 1:916 SIMS AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78225-2366
Practice Address - Country:US
Practice Address - Phone:210-977-9555
Practice Address - Fax:210-977-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable