Provider Demographics
NPI:1689835464
Name:FRIO COUNTY
Entity type:Organization
Organization Name:FRIO COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNTY JUDGE
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-334-0013
Mailing Address - Street 1:500 E SAN ANTONIO ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061-3145
Mailing Address - Country:US
Mailing Address - Phone:830-334-3201
Mailing Address - Fax:
Practice Address - Street 1:500 E SAN ANTONIO ST
Practice Address - Street 2:SUITE 5
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-3145
Practice Address - Country:US
Practice Address - Phone:830-334-3201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX082002341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX503766OtherBCBS
TX086439901Medicaid
TX503766OtherBCBS