Organization
CORAZON PROVIDER SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO MAX GARZA (CEO)
(956) 272-1971
Entity
Organization
Contact information
Practice address
109 N. INDIANA, MERCEDES, TX 78570-2634
(956) 272-1971
(956) 348-0888
Mailing address
109 N. INDIANA, MERCEDES, TX 78570-2634
(956) 272-1971
(956) 348-0888
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
10/07/2019
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