Provider Demographics
NPI:1053784173
Name:TEXLINE CONSTRUCTION
Entity type:Organization
Organization Name:TEXLINE CONSTRUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:CONRADO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-279-0483
Mailing Address - Street 1:4637 N MILE 5 1/2 W
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-2860
Mailing Address - Country:US
Mailing Address - Phone:956-279-0483
Mailing Address - Fax:
Practice Address - Street 1:4637 N MILE 5 1/2 W
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-2860
Practice Address - Country:US
Practice Address - Phone:956-279-0483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty