Healthcare Provider Details

I. General information

NPI: 1114095882
Provider Name (Legal Business Name): SIMCHA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 MAVERICK RD
BROWNSVILLE TX
78521-6303
US

IV. Provider business mailing address

5400 MAVERICK RD
BROWNSVILLE TX
78521-6303
US

V. Phone/Fax

Practice location:
  • Phone: 956-982-1339
  • Fax: 956-982-0644
Mailing address:
  • Phone: 956-982-1339
  • Fax: 956-982-0644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE A VELA
Title or Position: DIRECTOR
Credential: PHARM.D
Phone: 956-519-1339