Little Donkey Health Services Inc

Organization Active NPI Family Nurse Practitioner · Alton, TX

NPI 1053552802 · NPPES record last updated Mar 8, 2009

Key facts

NPI
1053552802
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
631625 (TX)
Legal business name
LITTLE DONKEY HEALTH SERVICES INC
Practice address
3509 E Main Ave
Ste. 101
Alton, TX 78573-1561
Phone
(956) 580-9950
Fax
(956) 580-9953
NPI assigned
Mar 8, 2009
Organization subpart
No

Authorized official

Name
Hector Rodriguez III, FNP
Title
Ceo
Phone
(956) 580-9950

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090901000152 TX Part B Supplier - Clinic/Group Practice 3072668821 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alton, TX

National Provider Directory

Locations

3509 E Main Ave
Ste 101
Mission, TX 78573
Phone (956) 580-9950

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X 631625 TX Yes

Addresses

Primary practice location

3509 E Main Ave
Ste. 101
Alton, TX 78573-1561

Mailing address

PO Box 3460
Edinburg, TX 78540-3460
Phone (956) 580-9950

Other names

  • Alton Family Clinic Doing business as

Other providers in Alton, TX

All providers in Alton, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.