Provider Demographics
NPI:1205218542
Name:ON GUARD COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:ON GUARD COMMUNITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CIGIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-313-6305
Mailing Address - Street 1:103 W JACKSON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6430
Mailing Address - Country:US
Mailing Address - Phone:956-313-6305
Mailing Address - Fax:888-508-2901
Practice Address - Street 1:103 W JACKSON ST STE 2
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6430
Practice Address - Country:US
Practice Address - Phone:956-313-6305
Practice Address - Fax:888-508-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5050302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization