Organization
PEGASUS QUEST, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE A ZINDA M.S. CCC-SLP (MANAGING PARTNER)
(956) 440-8658
Entity
Organization
Contact information
Practice address
1906 E TYLER AVE, SUITE H, HARLINGEN, TX 78550-7106
(956) 440-8658
(956) 440-1412
Mailing address
PO BOX 483, PORTER, TX 77365-0483
(956) 440-8658
(956) 440-1412
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136482100
VALLEY HEALTH PLAN
TX
Enumeration date
11/11/2006
Last updated
07/21/2022
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