Provider Demographics
NPI:1356485551
Name:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.
Entity Type:Organization
Organization Name:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:713-926-9491
Mailing Address - Street 1:204 CLIFTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-3314
Mailing Address - Country:US
Mailing Address - Phone:713-926-9491
Mailing Address - Fax:713-926-2672
Practice Address - Street 1:1205 E HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3318
Practice Address - Country:US
Practice Address - Phone:956-728-0440
Practice Address - Fax:956-722-7589
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-19
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000031OtherSTATE PERMIT
TX357TOtherSTATE LICENSE