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Organization
TREBAR
Active
Organization
TREBAR
Active
Other names
vdp health care
Organization subpart
No
Provider details
NPI number
Authorized official
ELMA C LOZANO (ADMINISTRATOR)
(956) 283-9237
Entity
Organization
Contact information
Practice address
221 S. CAGE, PHARR, TX 78577
(956) 283-9237
Mailing address
221 S CAGE BLVD, PHARR, TX 78577-4824
(985) 283-9237
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043396179
—
TX
Enumeration date
06/18/2009
Last updated
06/18/2009
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