Organization
CRISTAL PROVIDER SERVICES, LLC.
Active
Other names
Cristal Provider Services, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
ROY GONZALEZ (CEO)
(956) 735-3341
Entity
Organization
Contact information
Practice address
1002 N AVASOLO ST, RIO GRANDE CITY, TX 78582-2811
(956) 317-1009
(956) 488-0525
Mailing address
1002 N AVASOLO ST, RIO GRANDE CITY, TX 78582-2811
(956) 317-1009
(956) 488-0525
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
02/13/2024
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