Provider Demographics
NPI:1316208283
Name:SAN PATRICIO COUNTY
Entity Type:Organization
Organization Name:SAN PATRICIO COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY JUDGE
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-364-9301
Mailing Address - Street 1:313 NORTH RACHAL
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387
Mailing Address - Country:US
Mailing Address - Phone:361-364-6208
Mailing Address - Fax:361-364-6207
Practice Address - Street 1:313 NORTH RACHAL
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387
Practice Address - Country:US
Practice Address - Phone:361-364-6208
Practice Address - Fax:361-364-6207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPH0005Medicare PIN