Provider Demographics
NPI:1154105898
Name:CARIZA LLC
Entity type:Organization
Organization Name:CARIZA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-545-0638
Mailing Address - Street 1:1109 PAMELA DR STE B
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4340
Mailing Address - Country:US
Mailing Address - Phone:956-545-0638
Mailing Address - Fax:956-545-0570
Practice Address - Street 1:1109 PAMELA DR STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4340
Practice Address - Country:US
Practice Address - Phone:956-545-0638
Practice Address - Fax:956-545-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center