Provider Demographics
NPI:1942630520
Name:HEALING HANDS HOUSE CALLS
Entity Type:Organization
Organization Name:HEALING HANDS HOUSE CALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STORMY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:VALDESPINO
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:210-560-5481
Mailing Address - Street 1:4499 MEDICAL DR #151
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-560-5481
Mailing Address - Fax:
Practice Address - Street 1:4499 MEDICAL DR STE 151
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3714
Practice Address - Country:US
Practice Address - Phone:210-560-5481
Practice Address - Fax:210-239-6367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4546174400000X
TX659602363LF0000X
TX687150363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty