Provider Demographics
NPI: | 1649008632 |
---|---|
Name: | DDG REVENUE RECOVERY, LLC |
Entity type: | Organization |
Organization Name: | DDG REVENUE RECOVERY, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | RN CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MATTHEW |
Authorized Official - Middle Name: | ANDREW |
Authorized Official - Last Name: | GARCES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 210-239-3769 |
Mailing Address - Street 1: | 5150 BROADWAY ST. |
Mailing Address - Street 2: | PMB 476 |
Mailing Address - City: | SAN ANTONIO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78209-5710 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 210-239-3769 |
Mailing Address - Fax: | 972-210-8980 |
Practice Address - Street 1: | 814 BURNET ST APT 3 |
Practice Address - Street 2: | |
Practice Address - City: | SAN ANTONIO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78202-1937 |
Practice Address - Country: | US |
Practice Address - Phone: | 210-239-3769 |
Practice Address - Fax: | 972-210-8980 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | DARLENE'S HEALTHCARE |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2024-07-23 |
Last Update Date: | 2025-04-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 163WA2000X | Nursing Service Providers | Registered Nurse | Administrator | Group - Multi-Specialty |