Organization
EL VAQUERO ADULT DAY CARE, LLC
Active
Other names
El Vaquero Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN PENA II MBA (MEMBER)
(956) 702-9933
Entity
Organization
Contact information
Practice address
7209 W EXPRESSWAY 83, MISSION, TX 78572-9685
(956) 580-3143
(956) 702-9966
Mailing address
1307 W FERGUSON ST, PHARR, TX 78577-2107
(956) 702-9933
(956) 702-9966
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
127729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127729
DAHS LICENSE
TX
Enumeration date
10/20/2009
Last updated
10/20/2009
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