Provider Demographics
NPI:1659841740
Name:J & A TENDER CARE PRIMARY CARE L.L.C
Entity Type:Organization
Organization Name:J & A TENDER CARE PRIMARY CARE L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT. ADMINSTARTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-652-9507
Mailing Address - Street 1:1310 SAN EDUARDO AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-7523
Mailing Address - Country:US
Mailing Address - Phone:956-652-9507
Mailing Address - Fax:956-704-5059
Practice Address - Street 1:1310 SAN EDUARDO AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-7523
Practice Address - Country:US
Practice Address - Phone:956-652-9507
Practice Address - Fax:956-704-5059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care