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Organization
SUPERIOR PROVIDER SERVICES
Active
Organization
SUPERIOR PROVIDER SERVICES
Active
Other names
SUPERIOR PROVIDER SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEGO QUIJANO JR. EMT (ADMINISTARTOR)
(956) 240-4351
Entity
Organization
Contact information
Practice address
848 EAST EXPRESSWAY 83, LA JOYA, TX 78560-4252
(956) 793-7702
(956) 519-0660
Mailing address
PO BOX 487, MISSION, TX 78573-0009
(956) 793-7702
(956) 519-0660
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
02/17/2022
Last updated
10/11/2023
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