Organization
LITTLE BIT OF HEAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS MUNOZ JR. LSA (PRESIDENT)
(888) 322-6432
Entity
Organization
Contact information
Practice address
902 N 26TH ST, HARLINGEN, TX 78550-4504
(888) 322-6432
(888) 329-6432
Mailing address
902 N 26TH ST, HARLINGEN, TX 78550-4504
(888) 322-6432
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029SX
BCBS
TX
Enumeration date
05/13/2014
Last updated
05/13/2014
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