Organization Name: | DOS FRONTERAS, LLC |
NPI Number: | 1649200353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE HERNANDEZ (ADMINISTRATOR) |
Mailing Address: | 2483 2nd St Ste D Eagle Pass |
State: | TX US |
Postal Code: | 788524391 |
Phone Number: | 8307734009 |
Fax Number: | 8307734078 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |