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Organization
RICHARD GARZA DBA LA GUADALUPANA PRIMARY HOME CARE AGENCY
Active
Organization
RICHARD GARZA DBA LA GUADALUPANA PRIMARY HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GARZA (ADMINISTRATOR)
(830) 758-1307
Entity
Organization
Contact information
Practice address
338 N MONROE ST, EAGLE PASS, TX 78852-4562
(830) 758-1307
(830) 757-8503
Mailing address
338 N MONROE ST, EAGLE PASS, TX 78852-4562
(830) 758-1307
(830) 757-8503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001001121
VENDOR NUMBER
TX
Enumeration date
07/06/2007
Last updated
05/20/2008
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