Provider Demographics
NPI:1053404236
Name:NSCL INC
Entity type:Organization
Organization Name:NSCL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-256-3335
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:BENAVIDES
Mailing Address - State:TX
Mailing Address - Zip Code:78341-0398
Mailing Address - Country:US
Mailing Address - Phone:361-256-4400
Mailing Address - Fax:361-256-4413
Practice Address - Street 1:114 W RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:BENAVIDES
Practice Address - State:TX
Practice Address - Zip Code:78341
Practice Address - Country:US
Practice Address - Phone:361-256-3334
Practice Address - Fax:361-256-3681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002834251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024845201Medicaid
TX677735Medicare Oscar/Certification