Healthcare Provider Details

I. General information

NPI: 1376629774
Provider Name (Legal Business Name): CON MI GENTE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 N. STEWART
MISSION TX
78574-6709
US

IV. Provider business mailing address

2505 N STEWART RD
MISSION TX
78574-6709
US

V. Phone/Fax

Practice location:
  • Phone: 956-519-2600
  • Fax: 956-519-4500
Mailing address:
  • Phone: 956-519-2600
  • Fax: 956-519-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. VICTORIA FLORES
Title or Position: INDIRECT OWNER/ALTERNATE ADMIN
Credential:
Phone: 956-240-0671