Provider Demographics
NPI:1023176211
Name:P&H TEXAS VENTURES
Entity type:Organization
Organization Name:P&H TEXAS VENTURES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PREISIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SACA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-383-8222
Mailing Address - Street 1:420 S CLOSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4563
Mailing Address - Country:US
Mailing Address - Phone:956-383-8222
Mailing Address - Fax:956-383-8221
Practice Address - Street 1:420 S CLOSNER BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4563
Practice Address - Country:US
Practice Address - Phone:956-383-8222
Practice Address - Fax:956-383-8221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60R9246251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX60R9246OtherREGION 11 CONTRACT NUMBER
TX60R9246OtherREGION 11 CONTRACT NUMBER