Provider Demographics
NPI:1194209361
Name:HOLY FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:HOLY FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NOELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-585-3600
Mailing Address - Street 1:5819 N FM 88
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-3275
Mailing Address - Country:US
Mailing Address - Phone:956-969-2538
Mailing Address - Fax:
Practice Address - Street 1:5819 N FM 88
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-3275
Practice Address - Country:US
Practice Address - Phone:956-969-2538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109619003Medicaid
TX007203OtherBIRTH CENTER LICENSE