Provider Demographics
NPI:1760488829
Name:PLANNED PARENTHOOD CAMERON COUNTY
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD CAMERON COUNTY
Other - Org Name:PLANNED PARENTHOOD ASSOCIATION OF CAMERON & WILLACY CO
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:POLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARRAZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-736-2244
Mailing Address - Street 1:2104 BABCOCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-736-2244
Mailing Address - Fax:210-736-0044
Practice Address - Street 1:712 NORTH 77 SUNSHINE STRIP
Practice Address - Street 2:STE 18
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-4632
Practice Address - Country:US
Practice Address - Phone:956-423-8584
Practice Address - Fax:956-423-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126959910Medicaid
TX126959910Medicaid
TX00U98EMedicare ID - Type UnspecifiedGROUP NUMBER