Provider Demographics
NPI:1578795613
Name:RGV FLAMINGO POOLS INTERNATIONAL
Entity Type:Organization
Organization Name:RGV FLAMINGO POOLS INTERNATIONAL
Other - Org Name:RGV FLAMINGO POOLS INTERNATIONAL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-618-0101
Mailing Address - Street 1:721 W DOVE AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3538
Mailing Address - Country:US
Mailing Address - Phone:956-618-0101
Mailing Address - Fax:956-618-1099
Practice Address - Street 1:721 W DOVE AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3538
Practice Address - Country:US
Practice Address - Phone:956-618-0101
Practice Address - Fax:956-618-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty