Provider Demographics
NPI:1760743819
Name:PAZMINO'S HOME CARE
Entity Type:Organization
Organization Name:PAZMINO'S HOME CARE
Other - Org Name:PAZMINO ENTERPRISES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PAZMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-542-4972
Mailing Address - Street 1:12610 LA PLATA ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-6334
Mailing Address - Country:US
Mailing Address - Phone:210-542-4972
Mailing Address - Fax:210-599-0704
Practice Address - Street 1:12610 LA PLATA ST
Practice Address - Street 2:12610 LA PLATA ST.
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-6334
Practice Address - Country:US
Practice Address - Phone:210-542-4972
Practice Address - Fax:210-599-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility