Organization
CASA REAL PHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ANN CARREON (ADMINISTRATOR)
(956) 616-9264
Entity
Organization
Contact information
Practice address
413 E POLK AVE, PHARR, TX 78577-3201
(956) 616-9264
Mailing address
413 E POLK AVE, PHARR, TX 78577-3201
(956) 616-9264
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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