Healthcare Provider Details

I. General information

NPI: 1700330859
Provider Name (Legal Business Name): BA-GAR CLAIMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2016
Last Update Date: 08/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AV BENITO JUAREZ #146 ZONA CENTRO
NUEVO PROGRESO TAMPS
88810
MX

IV. Provider business mailing address

2203 N RAUL LONGORIA RD STE B2
SAN JUAN TX
78589-5098
US

V. Phone/Fax

Practice location:
  • Phone: 899-307-2392
  • Fax:
Mailing address:
  • Phone: 956-782-8425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: ERIK A BAEZ GARCIA
Title or Position: MEMBER MANAGER
Credential:
Phone: 956-460-8378