Provider Demographics
NPI:1417015157
Name:NURSE REQUEST
Entity Type:Organization
Organization Name:NURSE REQUEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:956-763-4092
Mailing Address - Street 1:2911 HEMINGWAY LOOP
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1910
Mailing Address - Country:US
Mailing Address - Phone:956-736-4092
Mailing Address - Fax:
Practice Address - Street 1:2911 HEMINGWAY LOOP
Practice Address - Street 2:SUITE 1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-1910
Practice Address - Country:US
Practice Address - Phone:956-763-4092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX646888251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health