Provider Demographics
NPI:1710180732
Name:HEBBRONVILLE HEALTH CLINIC
Entity Type:Organization
Organization Name:HEBBRONVILLE HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-487-2585
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-0098
Mailing Address - Country:US
Mailing Address - Phone:956-487-3928
Mailing Address - Fax:956-487-6670
Practice Address - Street 1:473 EAST STATE HWY 285
Practice Address - Street 2:
Practice Address - City:HEBBRONVILLE
Practice Address - State:TX
Practice Address - Zip Code:78361
Practice Address - Country:US
Practice Address - Phone:361-527-4053
Practice Address - Fax:361-527-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility