Healthcare Provider Details

I. General information

NPI: 1184134389
Provider Name (Legal Business Name): LEO PAOLO GARVIDA CHEE PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 E. EDINBURG AVE 1009
ELSA TX
78543
US

IV. Provider business mailing address

500 LINDBERG AVE
MCALLEN TX
78501-2924
US

V. Phone/Fax

Practice location:
  • Phone: 956-262-9131
  • Fax: 956-262-9232
Mailing address:
  • Phone: 956-687-4559
  • Fax: 956-687-4554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1213750
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: