1912409954 NPI number — H-E-B, LP

Table of content: (NPI 1912409954)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912409954 NPI number — H-E-B, LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
H-E-B, LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912409954
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
646 S FLORES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78204-1219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11675 FM 2154
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLEGE STATION
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-485-8111
Provider Business Practice Location Address Fax Number:
979-680-3283
Provider Enumeration Date:
03/06/2018

Additional Information

Authorized Official

Authorized Official Last Name:
LIENDO
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
GOVERNMENT PROGRAMS MANAGER
Authorized Official Telephone Number:
210-938-3182

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 471243 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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