Organization Name: | PRO-ACTION, INC. |
NPI Number: | 1093853418 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL ACOSTA (EXECUTIVE DIRECTOR) |
Mailing Address: | 222 S Campbell St Bsmt El Paso |
State: | TX US |
Postal Code: | 799012838 |
Phone Number: | 9155333414 |
Fax Number: | 9155333515 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 04/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | K6973 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |