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Organization
SOUTH TEXAS PROVIDER AGENCY LLC
Active
Organization
SOUTH TEXAS PROVIDER AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE GONZALEZ (ADMINISTRATION)
(830) 335-3445
Entity
Organization
Contact information
Practice address
1540 E GARRISON ST, EAGLE PASS, TX 78852-4930
(830) 335-3445
Mailing address
1540 E GARRISON ST, EAGLE PASS, TX 78852-4930
(830) 335-3445
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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