Provider Demographics
NPI:1518160035
Name:D&R HEALTHCARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:D&R HEALTHCARE PROVIDERS, INC.
Other - Org Name:MEDICAL INNOVATIONS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
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:956-781-7914
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:956-781-7914
Mailing Address - Fax:956-781-5228
Practice Address - Street 1:702 W EXPRESSWAY 83
Practice Address - Street 2:SUITE E
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6508
Practice Address - Country:US
Practice Address - Phone:956-781-7914
Practice Address - Fax:956-781-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006960251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX345611169Medicaid