Provider Demographics
NPI:1457410995
Name:PRO-HEALTH NURSING INCORPORATED
Entity Type:Organization
Organization Name:PRO-HEALTH NURSING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-BC
Authorized Official - Phone:956-236-3375
Mailing Address - Street 1:1303 CALLE DEL NORTE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041
Mailing Address - Country:US
Mailing Address - Phone:956-724-2006
Mailing Address - Fax:956-724-2014
Practice Address - Street 1:1303 CALLE DEL NORTE
Practice Address - Street 2:SUITE 400
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-724-2006
Practice Address - Fax:956-724-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009748251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D1040337OtherCLIA
TX45D1040337OtherCLIA