PAMELA GOZA-QUIROGA


Address: 1402 15th Street, Port Bolivar, TX 77650
Phone: 4096847122

PAMELA GOZA-QUIROGA (NPI# 1578889333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578889333
Entity Type Individual
Full Name PAMELA GOZA-QUIROGA
Other Name PAMELA GOZA-QUIROGA
Credential M.ED
Practice Address 1402 15th Street
Port Bolivar
TX 77650
Mailing Address Po Box 643
1402 15th Street
Port Bolivar
TX 77650
Practice Telephone 4096847122
Practice Fax Number 4097403561
Mailing Telephone 4096847122
Mailing Fax Number 4097403561
Enumeration Date 2010-04-19
Last Update Date 2010-04-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385H00000X Respite Care Respite Care Facility

Office Location

Street Address 1402 15TH STREET
City PORT BOLIVAR
State TX
Zip Code 77650

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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

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Competitor

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City PORT BOLIVAR
Zip Code 77650

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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