Provider Demographics
NPI:1750829412
Name:SPRINGMAN PROFESSIONAL PLAZA, L.P.
Entity Type:Organization
Organization Name:SPRINGMAN PROFESSIONAL PLAZA, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-546-5981
Mailing Address - Street 1:425 E LOS EBANOS BLVD
Mailing Address - Street 2:SUITE 100-A
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8481
Mailing Address - Country:US
Mailing Address - Phone:956-546-5981
Mailing Address - Fax:
Practice Address - Street 1:425 E LOS EBANOS BLVD
Practice Address - Street 2:SUITE 100-A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8481
Practice Address - Country:US
Practice Address - Phone:956-546-5981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic