Provider Demographics
NPI:1700065976
Name:GATA, INC.
Entity Type:Organization
Organization Name:GATA, INC.
Other - Org Name:LOS REYES HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-IPR
Authorized Official - Phone:956-682-7510
Mailing Address - Street 1:3017 S SUGAR RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1823
Mailing Address - Country:US
Mailing Address - Phone:956-381-4012
Mailing Address - Fax:956-381-4013
Practice Address - Street 1:3017 S SUGAR RD
Practice Address - Street 2:SUITE G
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1823
Practice Address - Country:US
Practice Address - Phone:956-381-4012
Practice Address - Fax:956-381-4013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0107933747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty