Provider Demographics
NPI:1922151828
Name:SOUTH TEXAS FAMILY PLANNING & HEALTH CORPORATION
Entity Type:Organization
Organization Name:SOUTH TEXAS FAMILY PLANNING & HEALTH CORPORATION
Other - Org Name:FAMILY PLANNING CLINIC - BEEVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:361-855-7333
Mailing Address - Street 1:4455 S PADRE ISLAND DR
Mailing Address - Street 2:SUITE #29
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5101
Mailing Address - Country:US
Mailing Address - Phone:361-855-7333
Mailing Address - Fax:361-851-2067
Practice Address - Street 1:1400 W CORPUS CHRISTI ST
Practice Address - Street 2:SUITE #4
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5404
Practice Address - Country:US
Practice Address - Phone:361-358-2974
Practice Address - Fax:361-358-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D0716424261QA0005X, 261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088329008Medicaid