Maria De Jesus Alcazar, LBSW-IPR
Individual provider Active NPI Case Manager/Care Coordinator · Edinburg, TX
NPI 1801232012 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1801232012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 37715 (TX)
- Practice address
- 341 Hollywood Dr
Edinburg, TX 78539-6117 - Phone
- (956) 802-1170
- Fax
- (956) 318-0137
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37715 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancing Together | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 37715 | TX | Yes |
Addresses
Primary practice location
341 Hollywood Dr
Edinburg, TX 78539-6117
Mailing address
341 Hollywood Dr
Edinburg, TX 78539-6117
Phone (956) 802-1170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Medicaid | TX |
Other providers in Edinburg, TX
- Christopher John Albert
- Alberto a Pena Mdpa
- Alberto Francis, M.D., P.a.
- Alberto Francis, M.D.,P.a.
- Ans Albustamy
- Arlyn Alcid
- Ariane Alcorn
- Maria Aldana
- Aleida'S Adult Center
- Alejandrina S. Vela Dba Vida Health Care
All providers in Edinburg, TX · Case Manager/Care Coordinator in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.