Organization Active NPI

Jessica Garza

  • Durable Medical Equipment & Medical Supplies
  • Rio Grande City, TX
National Provider Identifier
1497069330
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JESSICA GARZA
Practice address
701 N Avasolo St Ste F
Rio Grande City, TX 78582
Phone
(956) 583-4309
Fax
(956) 583-4311
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jessica Garza, L.V.N.
Title
Administrator
Phone
(956) 583-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

701 N Avasolo St Ste F
Rio Grande City, TX 78582

Mailing address

2000 S McColl Rd
Ste B # 204
McAllen, TX 78503-1516
Phone (956) 583-4309

Other practice location 1

701 N Avasolo St Ste F
Rio Grande City, TX 78582-3478
Phone (956) 583-4309

Other identifiers 2

IdentifierTypeStateIssuer
220613802MedicaidTX
220613801MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1497069330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MCCOLL RD",
            "address_2": "STE B # 204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031516",
            "telephone_number": "956-583-4309",
            "fax_number": "956-583-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N AVASOLO ST STE F",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "78582",
            "telephone_number": "956-583-4309",
            "fax_number": "956-583-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Avasolo St Ste F",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785823478",
            "country_code": "US",
            "telephone_number": "956-583-4309",
            "fax_number": "956-583-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSICA GARZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-583-4309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.V.N."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220613802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220613801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.