Provider Demographics
NPI:1740352830
Name:TEXAS VALLEY HEALTH SERVICES, INC. DBA CASA DEL SOL
Entity type:Organization
Organization Name:TEXAS VALLEY HEALTH SERVICES, INC. DBA CASA DEL SOL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-428-7901
Mailing Address - Street 1:509 W HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6427
Mailing Address - Country:US
Mailing Address - Phone:956-428-7901
Mailing Address - Fax:956-428-7813
Practice Address - Street 1:818 W EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6184
Practice Address - Country:US
Practice Address - Phone:956-580-8000
Practice Address - Fax:956-581-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115734261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000308900Medicaid