Provider Demographics
NPI: | 1366672131 |
---|---|
Name: | GAL-GAR CARDIOPULMONARY REHABILITATION |
Entity Type: | Organization |
Organization Name: | GAL-GAR CARDIOPULMONARY REHABILITATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | RESPIRATORY CARE PRACTITIONER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JOSE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GARZA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BS, RRT, RCP |
Authorized Official - Phone: | 956-292-4488 |
Mailing Address - Street 1: | 3414 KNIGHT AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | EDINBURG |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78539-3407 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 956-292-4488 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 316 E MAIN AVE |
Practice Address - Street 2: | |
Practice Address - City: | ALTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78573-6872 |
Practice Address - Country: | US |
Practice Address - Phone: | 956-292-4488 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-07-15 |
Last Update Date: | 2009-07-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2278P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Pulmonary Rehabilitation | Group - Multi-Specialty |
No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
No | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Group - Multi-Specialty | |
No | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care | Group - Multi-Specialty |
No | 2279E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Educational | Group - Multi-Specialty |
No | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care | Group - Multi-Specialty |
No | 2279P1004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Diagnostics | Group - Multi-Specialty |
No | 2279P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Function Technologist | Group - Multi-Specialty |