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NPI Code Detail

MEDICARE: UPSTART INVESTMENTS LTD

MEDICARE: UPSTART INVESTMENTS LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency52229TX

General Provider Information

NPI Number : 1881913366
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPSTART INVESTMENTS LTD
Provider Business Mailing Address
First Line : 4318 TWIN CIR
Second Line :
City : EDINBURG
State : TX
Zip : 78542-7114
Country : US
Telephone Number : 956-467-1074
Fax Number : 956-467-1075
Provider Business Practice Location Address
First Line : 4318 TWIN CIR
Second Line :
City : EDINBURG
State : TX
Zip : 78542-7114
Country : US
Telephone Number : 956-467-1074
Fax Number : 956-467-1075
Authorized Official
Title or Position : CEO
Name : MR. ANTONIO ALBERTO GONZALEZ
Credential : BSW
Telephone Number : 956-789-8081
Provider Enumeration Date : 05/24/2010
Last Update Date : 05/24/2010

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Directions to “UPSTART INVESTMENTS LTD ” Practice Location

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