Provider Demographics
NPI:1508914540
Name:LAREDO WEBB COUNTY CASE MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:LAREDO WEBB COUNTY CASE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRANZA
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:956-726-4949
Mailing Address - Street 1:1115 CHIHUAHUA ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5289
Mailing Address - Country:US
Mailing Address - Phone:956-726-4949
Mailing Address - Fax:956-726-4975
Practice Address - Street 1:1115 CHIHUAHUA ST
Practice Address - Street 2:SUITE C
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5289
Practice Address - Country:US
Practice Address - Phone:956-726-4949
Practice Address - Fax:956-726-4975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty