Provider Demographics
NPI:1326110503
Name:TEXAS VALLEY HEALTH SERVICES/ DBA CASA DEL SOL
Entity Type:Organization
Organization Name:TEXAS VALLEY HEALTH SERVICES/ DBA CASA DEL SOL
Other - Org Name:CASA DEL SOL - MERCEDES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MINERVA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-428-7901
Mailing Address - Street 1:509 WEST HARRISON
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-428-7901
Mailing Address - Fax:956-428-7813
Practice Address - Street 1:1400 WEST 2ND STREET
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570
Practice Address - Country:US
Practice Address - Phone:956-565-5837
Practice Address - Fax:956-565-5842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115829261QA0600X
TX000337900261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001003831Medicaid