Provider Demographics
NPI:1376381384
Name:HACIENDA GARZA HOLDINGS INC
Entity type:Organization
Organization Name:HACIENDA GARZA HOLDINGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-315-5695
Mailing Address - Street 1:2464 BRIDGEPORT DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-7618
Mailing Address - Country:US
Mailing Address - Phone:210-315-5695
Mailing Address - Fax:
Practice Address - Street 1:400 STONEBROOK PKWY UNIT 603
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-3122
Practice Address - Country:US
Practice Address - Phone:210-315-5695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care