Organization
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN ELIZABETH AWALT (EXECUTIVE DIRECTOR)
(361) 664-0145
Entity
Organization
Contact information
Practice address
115 W MAIN ST, BENAVIDES, TX 78341-1004
(361) 256-3663
(361) 221-1889
Mailing address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 664-0145
(361) 664-2248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L5201
TX
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QW12
MEDICARE- UNSPEICIED TYPR ID
TX
05
—
205219301
—
TX
05
—
205219302
—
TX
Enumeration date
04/28/2009
Last updated
06/30/2026
Update your record
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