Healthcare Provider Details

I. General information

NPI: 1992943203
Provider Name (Legal Business Name): A & G CONSTRUCTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 COUNTY ROAD 3061
ORANGE GROVE TX
78372-9352
US

IV. Provider business mailing address

470 COUNTY ROAD 3061
ORANGE GROVE TX
78372-9352
US

V. Phone/Fax

Practice location:
  • Phone: 361-384-2490
  • Fax:
Mailing address:
  • Phone: 361-384-2490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA ALEMAN
Title or Position: OWNER
Credential:
Phone: 361-384-2490