| Cariza Llc | |
|
1109 Pamela Dr Ste B Mission TX 78572-4340 | |
| (956) 545-0638 | |
| (956) 545-0570 |
| Full Name | Cariza Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1109 Pamela Dr Ste B, Mission, Texas |
| Authorized Official Name and Position | Carmel Lagas (OWNER) |
| Authorized Official Contact | 9565450638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cariza Llc 1109 Pamela Dr Ste B Mission TX 78572-4340 Ph: (956) 545-0638 | Cariza Llc 1109 Pamela Dr Ste B Mission TX 78572-4340 Ph: (956) 545-0638 |
| NPI Number | 1154105898 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 3173970316 |
|---|---|
| Medicare Enrollment ID | O20231109003539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154105898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rizalina Tatoy Lagas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942898820 PECOS PAC ID: 8123324860 Enrollment ID: I20211103000236 |
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