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Organization

CYNTHIA T. VAZQUEZ

Active
Other names
Precious Garden Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA TREVINO VAZQUEZ RN (ADMINISTRATOR)
(956) 722-9311
Entity
Organization

Contact information

Practice address
1817 CORPUS CHRISTI ST, LAREDO, TX 78043-3306
(956) 722-9311
(956) 723-8616
Mailing address
1817 CORPUS CHRISTI ST, LAREDO, TX 78043-3306
(956) 722-9311
(956) 723-8616

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008323
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001012395
TX
05
001012397
TX
05
001012398
TX
05
001015507
TX
05
185456401
TX
Enumeration date
03/08/2007
Last updated
07/05/2024
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