Healthcare Provider Details

I. General information

NPI: 1700065976
Provider Name (Legal Business Name): GATA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 05/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3017 S SUGAR RD SUITE G
EDINBURG TX
78539-1823
US

IV. Provider business mailing address

3017 S SUGAR RD SUITE G
EDINBURG TX
78539-1823
US

V. Phone/Fax

Practice location:
  • Phone: 956-381-4012
  • Fax: 956-381-4013
Mailing address:
  • Phone: 956-381-4012
  • Fax: 956-381-4013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number010793
License Number StateTX

VIII. Authorized Official

Name: MR. ADOLFO REYES
Title or Position: PRESIDENT
Credential: LMSW-IPR
Phone: 956-682-7510