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Organization
PRIDE PHC SERVICES INC
Active
Organization
PRIDE PHC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARBERRY (CCO)
(903) 390-4040
Entity
Organization
Contact information
Practice address
12500 SAN PEDRO AVE, SUITE 315, SAN ANTONIO, TX 78216-2858
(210) 949-1303
(210) 949-1966
Mailing address
8751 COLLIN MCKINNEY PKWY, SUITE 1102 PMB30, MCKINNEY, TX 75070
(210) 949-1303
(210) 949-1966
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007102
TX
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007102
HHSC LICENSE
TX
05
—
01032427
—
TX
01
—
1497810584
NPI
TX
Enumeration date
12/27/2006
Last updated
01/22/2026
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