Healthcare Provider Details

I. General information

NPI: 1265625248
Provider Name (Legal Business Name): MRNG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WEST RAILROAD AVE
BENAVIDES TX
78341
US

IV. Provider business mailing address

PO BOX 586
BENAVIDES TX
78341-0586
US

V. Phone/Fax

Practice location:
  • Phone: 361-256-6700
  • Fax: 361-994-7999
Mailing address:
  • Phone: 361-256-6700
  • Fax: 361-994-7999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011519
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number011519
License Number StateTX

VIII. Authorized Official

Name: MR. NESTOR GARZA
Title or Position: DIRECTOR
Credential:
Phone: 361-256-4000