Healthcare Provider Details

I. General information

NPI: 1407229727
Provider Name (Legal Business Name): GUERRA TRANSITIONS MHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 11/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HERITAGE DR SUITE 110
MCKINNEY TX
75069-3256
US

IV. Provider business mailing address

7418 N 16TH LN
MCALLEN TX
78504-3244
US

V. Phone/Fax

Practice location:
  • Phone: 844-633-4663
  • Fax: 877-489-3949
Mailing address:
  • Phone: 570-441-5964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberP1646
License Number StateTX

VIII. Authorized Official

Name: EDUARDO GUERRA VALENCIA
Title or Position: OWNER
Credential:
Phone: 570-441-5964