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Organization
RIO BRAVO HEALTH SYSTEM LLC
Active
Organization
RIO BRAVO HEALTH SYSTEM LLC
Active
Other names
Maverick Home Health, Maverick Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE HERNANDEZ R.N. (DIRECTOR)
(830) 773-5330
Entity
Organization
Contact information
Practice address
2822 N VETERANS BLVD STE A, EAGLE PASS, TX 78852-6697
(830) 773-5330
(830) 773-4078
Mailing address
2822 N VETERANS BLVD STE A, EAGLE PASS, TX 78852-6697
(830) 773-5330
(830) 773-4078
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012468
—
TX
05
—
088263102
—
TX
05
—
1093869323
—
TX
Enumeration date
01/23/2007
Last updated
11/17/2021
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