Provider Demographics
NPI:1831277821
Name:OBRA HEALTH CARE, LLC
Entity type:Organization
Organization Name:OBRA HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:JOVITA
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-787-6272
Mailing Address - Street 1:1225 N I RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1921
Mailing Address - Country:US
Mailing Address - Phone:956-787-6272
Mailing Address - Fax:956-787-6289
Practice Address - Street 1:1225 N I RD
Practice Address - Street 2:SUITE B
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-1921
Practice Address - Country:US
Practice Address - Phone:956-787-6272
Practice Address - Fax:956-787-6289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010290251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
679570Medicare Oscar/Certification