# MARIPOSA PROVIDER SERVICES LLC

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

## Provider details

- **NPI number:** 1215510789
- **Authorized official:** DR. DANIEL WINSTON AMOH MD (CO-OWNER)
- **Authorized official phone:** (956) 803-2171

## Contact information

- **Practice address:** 10600 N 26TH ST, MCALLEN, TX 78504-6475
- **Practice address phone:** (956) 803-2171
- **Mailing address:** 10600 N 26TH ST, MCALLEN, TX 78504-6475
- **Mailing address phone:** (956) 803-2171
- **Mailing address fax:** (956) 600-8667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2021
- **Last updated:** 05/03/2021