Provider Demographics
NPI:1871834515
Name:HAROLD R ALDAPE
Entity Type:Organization
Organization Name:HAROLD R ALDAPE
Other - Org Name:EN MANOS DE DIOS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDAPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-283-7048
Mailing Address - Street 1:1000 E US HIGHWAY 83
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5055
Mailing Address - Country:US
Mailing Address - Phone:956-283-7048
Mailing Address - Fax:956-283-7006
Practice Address - Street 1:1000 E US HIGHWAY 83
Practice Address - Street 2:SUITE A
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5055
Practice Address - Country:US
Practice Address - Phone:956-283-7048
Practice Address - Fax:956-283-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136349261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care