Provider Demographics
NPI:1851562003
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:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:713-926-9491
Mailing Address - Street 1:204 CLIFTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-3314
Mailing Address - Country:US
Mailing Address - Phone:713-926-9491
Mailing Address - Fax:713-926-2672
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:713-926-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357 A - Y261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX357OtherTX DSHS LICENSE