Provider Demographics
NPI:1700330859
Name:BA-GAR CLAIMS LLC
Entity Type:Organization
Organization Name:BA-GAR CLAIMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAEZ GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-460-8378
Mailing Address - Street 1:2203 N RAUL LONGORIA RD
Mailing Address - Street 2:STE B2
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-5098
Mailing Address - Country:US
Mailing Address - Phone:956-782-8425
Mailing Address - Fax:
Practice Address - Street 1:AV BENITO JUAREZ #146 ZONA CENTRO
Practice Address - Street 2:
Practice Address - City:NUEVO PROGRESO
Practice Address - State:TAMPS
Practice Address - Zip Code:88810
Practice Address - Country:MX
Practice Address - Phone:899-307-2392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization