# DNA HEALTH PROVIDER LLC

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

## Provider details

- **NPI number:** 1225578115
- **Authorized official:** DIANA LOPEZ (OWNER/PRESIDENT)
- **Authorized official phone:** (956) 844-3129

## Contact information

- **Practice address:** 5491 E US HIGHWAY 83 STE A, RIO GRANDE CITY, TX 78582-9677
- **Practice address phone:** (956) 844-3129
- **Mailing address:** PO BOX 2, GARCIASVILLE, TX 78547-0002
- **Mailing address phone:** (956) 844-3129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 01/31/2019