Organization
A&R VIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY SANCHEZ (MANAGING PARTNER)
(956) 844-4631
Entity
Organization
Contact information
Practice address
2017 N CONWAY AVE, ATE B, MISSION, TX 78572-2965
(956) 585-5422
(180) 068-0273
Mailing address
2017 N CONWAY AVE, ATE B, MISSION, TX 78572-2965
(956) 585-5422
(180) 068-0273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6549300001
PTAN
TX
Enumeration date
02/07/2012
Last updated
02/07/2012
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