Organization
RICARDO S TREVINO
Active
Other names
NUESTRA GENTE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO S TREVINO (OWNER)
(956) 753-6493
Entity
Organization
Contact information
Practice address
1212 N MEADOW AVE, LAREDO, TX 78040-5350
(956) 753-6493
(956) 712-0016
Mailing address
1212 N MEADOW AVE, LAREDO, TX 78040-5350
(956) 753-6493
(956) 712-0016
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
116310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001001896
DAHS
TX
01
—
116310
STATE LICENSE
TX
Enumeration date
05/22/2007
Last updated
07/17/2008
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