Provider Demographics
NPI:1467135012
Name:SOUTH TEXAS FAMILY CONNECTIONS
Entity Type:Organization
Organization Name:SOUTH TEXAS FAMILY CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUADALUPE
Authorized Official - Middle Name:FLORES
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-334-4046
Mailing Address - Street 1:3765 S ALAMEDA ST STE 318
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1672
Mailing Address - Country:US
Mailing Address - Phone:361-334-4046
Mailing Address - Fax:
Practice Address - Street 1:3765 S ALAMEDA ST STE 318
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1672
Practice Address - Country:US
Practice Address - Phone:361-334-4046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX450638478OtherNNPES