Provider Demographics
NPI:1023163466
Name:FREDDY'S INVESTMENTS
Entity type:Organization
Organization Name:FREDDY'S INVESTMENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-720-4575
Mailing Address - Street 1:704 S 11TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7926
Mailing Address - Country:US
Mailing Address - Phone:956-720-4575
Mailing Address - Fax:956-258-5012
Practice Address - Street 1:704 S 11TH ST STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-7926
Practice Address - Country:US
Practice Address - Phone:956-720-4575
Practice Address - Fax:956-258-5012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009722251E00000X
253Z00000X
TX609722251E00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017174OtherLICENSE
TX179794601Medicaid
677813Medicare PIN