Cristal Provider Services, Llc.
NPI #1982291316 in Rio Grande City, Texas
Provider Information
- NPI Number
- 1982291316
- Entity Type
- Organization
- Organization Name
- Cristal Provider Services, Llc.
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 31, 2020
- Last Updated
- Feb 13, 2024
Practice Location
- Address
- 1002 N AVASOLO ST
- City
- Rio Grande City
- State
- Texas
- ZIP Code
- 78582-2811
- Phone
- (956) 317-1009
Authorized Official
- Name
- ROY GONZALEZ
- Title
- CEO
- Phone
- (956) 735-3341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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