Provider Demographics
NPI:1689066276
Name:TEXAS ADC, LLC
Entity Type:Organization
Organization Name:TEXAS ADC, LLC
Other - Org Name:FALFURRIAS SENIOR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-778-5343
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:FALFURRIAS
Mailing Address - State:TX
Mailing Address - Zip Code:78355-0458
Mailing Address - Country:US
Mailing Address - Phone:361-667-6454
Mailing Address - Fax:361-667-6453
Practice Address - Street 1:1201 PINEDA ST
Practice Address - Street 2:
Practice Address - City:FALFURRIAS
Practice Address - State:TX
Practice Address - Zip Code:78355-4629
Practice Address - Country:US
Practice Address - Phone:361-667-6454
Practice Address - Fax:361-667-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care