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Organization
TEXAS PROVIDER CARE, LLC
Active
Organization
TEXAS PROVIDER CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANGEL JAIMES BSN (ADMINISTRATOR)
(956) 791-5234
Entity
Organization
Contact information
Practice address
1620 CHIHUAHUA ST, LAREDO, TX 78043
(956) 791-5234
(956) 726-0145
Mailing address
1620 CHIHUAHUA ST, LAREDO, TX 78043-3601
(956) 791-5234
(956) 726-0145
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
009337
TX
3747P1801X
Personal Care Attendant
009337
TX
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012178
—
TX
05
—
001014972
—
TX
Enumeration date
02/15/2007
Last updated
10/24/2023
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