Organization
ELI SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DABIAN E CAVAZOS (ADMINISTRATOR)
(361) 779-5168
Entity
Organization
Contact information
Practice address
555 LOS ALTOS ST, STE. B, BROWNSVILLE, TX 78520-4343
(361) 779-5168
Mailing address
555 LOS ALTOS ST, STE. B, BROWNSVILLE, TX 78520-4343
(361) 779-5168
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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