Healthcare Provider Details

I. General information

NPI: 1093019598
Provider Name (Legal Business Name): GARREY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2010
Last Update Date: 12/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7016 S CAGE BLVD
PHARR TX
78577-9179
US

IV. Provider business mailing address

20603 BUCK FAWN DR
EDINBURG TX
78542-4901
US

V. Phone/Fax

Practice location:
  • Phone: 956-783-0606
  • Fax:
Mailing address:
  • Phone: 956-330-8153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number128818
License Number StateTX

VIII. Authorized Official

Name: MR. BALDEMAR GARZA
Title or Position: PRESIDENT
Credential:
Phone: 956-330-8153