Provider Demographics
NPI:1225507882
Name:COMMUNITY SERVICES AGENCY OF SOUTH TEXAS INC
Entity Type:Organization
Organization Name:COMMUNITY SERVICES AGENCY OF SOUTH TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/BILLING
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-876-2440
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-6488
Mailing Address - Country:US
Mailing Address - Phone:830-876-5219
Mailing Address - Fax:830-876-5280
Practice Address - Street 1:908 S 5TH ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-4206
Practice Address - Country:US
Practice Address - Phone:830-876-2440
Practice Address - Fax:830-876-5280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals