Provider Demographics
NPI:1376617712
Name:D & R HEALTH CARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:D & R HEALTH CARE PROVIDERS, INC.
Other - Org Name:MEDICAL INNOVATIONS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, FNP
Authorized Official - Phone:956-781-9600
Mailing Address - Street 1:702 W INTERSTATE 2 STE F
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6508
Mailing Address - Country:US
Mailing Address - Phone:956-781-9600
Mailing Address - Fax:956-781-9808
Practice Address - Street 1:702 W INTERSTATE 2 STE F
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6508
Practice Address - Country:US
Practice Address - Phone:956-781-9600
Practice Address - Fax:956-781-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006960251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0951311-02Medicaid
TX458060Medicare ID - Type UnspecifiedHOME HEALTH