Provider Demographics
NPI:1841443942
Name:ASLAN PROFESSIONAL SERVICES LLC
Entity type:Organization
Organization Name:ASLAN PROFESSIONAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:830-775-1373
Mailing Address - Street 1:601 E GIBBS ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-4653
Mailing Address - Country:US
Mailing Address - Phone:830-775-1373
Mailing Address - Fax:830-775-0816
Practice Address - Street 1:601 E GIBBS ST
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4653
Practice Address - Country:US
Practice Address - Phone:830-775-1373
Practice Address - Fax:830-775-0816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001016662OtherDADS CONTRACT NUMBER