Provider Demographics
NPI:1760436877
Name:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS,INC
Entity Type:Organization
Organization Name:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS,INC
Other - Org Name:AAMA.INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY ASSURANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESPERANZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:,LCDC
Authorized Official - Phone:210-270-8575
Mailing Address - Street 1:434 S MAIN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1118
Mailing Address - Country:US
Mailing Address - Phone:210-270-8575
Mailing Address - Fax:
Practice Address - Street 1:204 CLIFTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-3314
Practice Address - Country:US
Practice Address - Phone:713-926-9491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-22
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D1019277291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory