# MY MEDICAL NETWORK HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033500194
- **Authorized official:** LUCINA TREVINO (MEMBER)
- **Authorized official phone:** (210) 422-2336

## Contact information

- **Practice address:** 505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
- **Practice address phone:** (210) 422-2336
- **Mailing address:** 507 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
- **Mailing address phone:** (210) 422-2336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | J8805 | TX | Yes |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 02/19/2015