Provider Demographics
NPI:1871520650
Name:CAMERON COUNTY
Entity type:Organization
Organization Name:CAMERON COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR OF SCIENCE
Authorized Official - Phone:956-247-3685
Mailing Address - Street 1:1390 W EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-7633
Mailing Address - Country:US
Mailing Address - Phone:956-247-3685
Mailing Address - Fax:956-361-8230
Practice Address - Street 1:1204 JOSE COLUNGA JR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521
Practice Address - Country:US
Practice Address - Phone:956-574-8745
Practice Address - Fax:956-574-8755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137264104Medicaid
TX137264111Medicaid
TX137264109Medicaid
TX137264113Medicaid
TX137264102Medicaid
TX137264105Medicaid
TX137264106Medicaid
TX137264114Medicaid
TX137264103Medicaid
TX137264107Medicaid
TX137264110Medicaid
TX137264115Medicaid
TX137264115Medicaid