Provider Demographics
NPI:1437905288
Name:LAS HERMANAS PROVIDER SERVICES LLC.
Entity type:Organization
Organization Name:LAS HERMANAS PROVIDER SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:ALEICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-651-1110
Mailing Address - Street 1:117 W. VINE AVE.
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1483
Mailing Address - Country:US
Mailing Address - Phone:317-755-9543
Mailing Address - Fax:
Practice Address - Street 1:117 W. VINE AVE.
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1483
Practice Address - Country:US
Practice Address - Phone:317-755-9543
Practice Address - Fax:210-855-2478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty