Provider Demographics
NPI:1023041266
Name:EXCELLENT NURSING CARE P.C.
Entity Type:Organization
Organization Name:EXCELLENT NURSING CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-645-3537
Mailing Address - Street 1:8514 CROWN WOODS DR
Mailing Address - Street 2:802 GALVESTON SUITE C
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-2085
Mailing Address - Country:US
Mailing Address - Phone:956-645-3537
Mailing Address - Fax:956-723-9833
Practice Address - Street 1:8514 CROWN WOODS DR
Practice Address - Street 2:802 GALVESTON SUITE C
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-2085
Practice Address - Country:US
Practice Address - Phone:956-645-3537
Practice Address - Fax:956-723-9833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010070251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010070OtherSTATE LICENSE NUMBER
TX010070OtherSTATE LICENSE NUMBER