Provider Demographics
NPI:1811474158
Name:PLANNED PARENTHOOD SOUTH TEXAS SURGICAL CENTER
Entity type:Organization
Organization Name:PLANNED PARENTHOOD SOUTH TEXAS SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & BOARD CHAIR
Authorized Official - Prefix:MRS
Authorized Official - First Name:POKIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARRAZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-736-2244
Mailing Address - Street 1:2140 BABCOCK
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-736-2244
Mailing Address - Fax:210-736-0011
Practice Address - Street 1:920 SAN PEDRO
Practice Address - Street 2:STE 150
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212
Practice Address - Country:US
Practice Address - Phone:210-736-2262
Practice Address - Fax:210-733-9600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANNED PARENTHOOD SOUTH TEXAS SURGICA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-19
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care