Provider Demographics
NPI:1326044488
Name:PLANNED PARENTHOOD ASSOCIATION OF CAMERON & WILLACY COUNTIES, INC.
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD ASSOCIATION OF CAMERON & WILLACY COUNTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-546-4574
Mailing Address - Street 1:370 OLD PORT ISABEL RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3547
Mailing Address - Country:US
Mailing Address - Phone:956-546-4574
Mailing Address - Fax:956-544-6033
Practice Address - Street 1:5636 SOUTHMOST RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-6389
Practice Address - Country:US
Practice Address - Phone:956-544-2723
Practice Address - Fax:956-544-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U98EOtherMEDICARE GROUP