Provider Demographics
NPI:1518911692
Name:ABBA COVENENT, INC.
Entity Type:Organization
Organization Name:ABBA COVENENT, INC.
Other - Org Name:KIDS AT LAMISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-488-1440
Mailing Address - Street 1:104 N TEXAS ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:TX
Mailing Address - Zip Code:78582-3628
Mailing Address - Country:US
Mailing Address - Phone:956-488-1440
Mailing Address - Fax:956-847-1177
Practice Address - Street 1:104 N TEXAS ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:TX
Practice Address - Zip Code:78582-3628
Practice Address - Country:US
Practice Address - Phone:956-488-1440
Practice Address - Fax:956-847-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation