MEDICARE: BPG, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	3747P1801X	Personal Care Attendant
5	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	457890	OTHER	TX	PTAN

General Provider Information

NPI Number	:	1538109491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BPG, LLC

Provider Business Mailing Address
First Line	:	2900 N TEXAS BLVD STE 101
Second Line	:
City	:	WESLACO
State	:	TX
Zip	:	78599-9601
Country	:	US
Telephone Number	:	956-447-1803
Fax Number	:	956-447-1813

Provider Business Practice Location Address
First Line	:	2900 N TEXAS BLVD STE 101
Second Line	:
City	:	WESLACO
State	:	TX
Zip	:	78599-9601
Country	:	US
Telephone Number	:	956-447-1803
Fax Number	:	956-447-1813

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CYNTHIA N. GAMEZ
Credential	:	RN
Telephone Number	:	956-447-1803

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/12/2024

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Directions to “BPG, LLC ” Practice Location

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