Organization
GUSTAVO GARCIA & SYLVIA GARCIA
Active
Other names
South Texas Provider Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO GARCIA LVN (ADMINISTRATOR)
(956) 969-2472
Entity
Organization
Contact information
Practice address
811 E PIKE BLVD, WESLACO, TX 78596-4935
(956) 969-2472
(956) 447-2207
Mailing address
811 E PIKE BLVD, WESLACO, TX 78596-4935
(956) 969-2472
(956) 447-2207
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
006547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000117500
—
TX
05
—
001000753
—
TX
05
—
001012639
—
TX
Enumeration date
05/31/2007
Last updated
12/07/2007
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