Provider Demographics
NPI:1841600640
Name:SHS-SIG SELECT 1, INC.
Entity Type:Organization
Organization Name:SHS-SIG SELECT 1, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-450-1122
Mailing Address - Street 1:1135 N EARL RUDDER FREEWAY, STE 102
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77803
Mailing Address - Country:US
Mailing Address - Phone:979-704-6954
Mailing Address - Fax:979-704-6956
Practice Address - Street 1:1135 N EARL RUDDER FREEWAY, STE 102
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77803
Practice Address - Country:US
Practice Address - Phone:979-704-6954
Practice Address - Fax:979-704-6956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care