Healthcare Provider Details

I. General information

NPI: 1245642701
Provider Name (Legal Business Name): GPHHT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4514 S MCCOLL RD SUITE 1
EDINBURG TX
78539-9739
US

IV. Provider business mailing address

4514 S MCCOLL RD SUITE 1
EDINBURG TX
78539-9739
US

V. Phone/Fax

Practice location:
  • Phone: 956-627-2844
  • Fax: 956-627-2846
Mailing address:
  • Phone: 956-627-2844
  • Fax: 956-627-2846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO JAVIER NINO
Title or Position: OWNER
Credential: RN
Phone: 956-627-2844