Provider Demographics
NPI:1619942844
Name:HOLY FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:HOLY FAMILY SERVICES, INC.
Other - Org Name:HOLY FAMILY SERVICES BIRTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA CRUZ-YARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-969-2538
Mailing Address - Street 1:5819 N. FM 88
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596
Mailing Address - Country:US
Mailing Address - Phone:956-969-2538
Mailing Address - Fax:956-969-5884
Practice Address - Street 1:5819 N. FM 88
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596
Practice Address - Country:US
Practice Address - Phone:956-969-2538
Practice Address - Fax:956-969-5884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109619003Medicaid
TX109619004Medicaid