Provider Demographics
NPI:1417610478
Name:FIRSTHAND HEALTH OF TEXAS
Entity Type:Organization
Organization Name:FIRSTHAND HEALTH OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-864-8733
Mailing Address - Street 1:205 HUDSON ST FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-1836
Mailing Address - Country:US
Mailing Address - Phone:573-864-8733
Mailing Address - Fax:
Practice Address - Street 1:205 HUDSON ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1836
Practice Address - Country:US
Practice Address - Phone:573-864-8733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health