Provider Demographics
NPI:1699026468
Name:ALLEGIANCE PERSONAL SERVICES ASSISTANCE INC
Entity Type:Organization
Organization Name:ALLEGIANCE PERSONAL SERVICES ASSISTANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATER
Authorized Official - Prefix:MS
Authorized Official - First Name:GERAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-545-2727
Mailing Address - Street 1:4625 ALABAMA ST STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-2519
Mailing Address - Country:US
Mailing Address - Phone:915-545-2727
Mailing Address - Fax:915-545-2728
Practice Address - Street 1:4625 ALABAMA ST STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79930-2519
Practice Address - Country:US
Practice Address - Phone:915-545-2727
Practice Address - Fax:915-545-2728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015041251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health