Provider Demographics
NPI:1982077103
Name:HAGAMOSLO.ORG
Entity Type:Organization
Organization Name:HAGAMOSLO.ORG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBAN RUBIO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:281-201-5647
Mailing Address - Street 1:2501 S MASON RD STE 237
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1789
Mailing Address - Country:US
Mailing Address - Phone:281-201-5647
Mailing Address - Fax:
Practice Address - Street 1:2501 S MASON RD STE 237
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1789
Practice Address - Country:US
Practice Address - Phone:281-201-5647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty