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General NPI Number Information
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NPI Number | 1316529019
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Entity Type | Organization
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Legal Business Name | ROE HEALTHCARE AGENCY LLC
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 02/20/2022
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Provider Practice Location Address
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Address Line | 21516 URESTI RD
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City | EDINBURG
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State | TX
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Zip | 78542-0100
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Country | US
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Telephone | 956-609-2717
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Fax |
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Provider Business Mailing Address
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Address Line | 21516 URESTI RD
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City | EDINBURG
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State | TX
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Zip | 78542-0100
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Country | US
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Telephone | 956-609-2717
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MS. ROSALINDA ANNA MARTINEZ
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Credential |
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Telephone | 956-370-9722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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