Organization
MI CASITA ADC
Active
Organization
MI CASITA ADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORIO GARZA (DIRECTOR)
(956) 485-1199
Entity
Organization
Contact information
Practice address
8034 E HWY 83, RIO GRANDE CITY, TX 78582
(956) 485-1199
(956) 485-2671
Mailing address
8034 E HWY 83, RIO GRANDE CITY, TX 78582
(956) 485-1199
(956) 485-2671
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
114299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100581
—
TX
Enumeration date
07/01/2006
Last updated
08/22/2020
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