Provider Demographics
NPI:1376833053
Name:PLANNED PARENTHOOD SOUTH TEXAS
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD SOUTH TEXAS
Other - Org Name:PLANNED PARENTHOOD TRUST OF SOUTH TEXAS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE CHAIR SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:POLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARRAZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-572-5287
Mailing Address - Street 1:2140 BABCOCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-736-2244
Mailing Address - Fax:210-736-0011
Practice Address - Street 1:2140 BABCOCK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-333-5454
Practice Address - Fax:210-531-2940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory