# TEXAS PROVIDER CARE

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

## Provider details

- **NPI number:** 1639654882
- **Authorized official:** GRACIELA ORTIZ MARIN (PARTNER)
- **Authorized official phone:** (210) 571-5663

## Contact information

- **Practice address:** 5602 PRESIDIO PKWY APT 2126, SAN ANTONIO, TX 78249-3095
- **Practice address phone:** (210) 571-5663
- **Practice address fax:** (210) 305-5744
- **Mailing address:** 5602 PRESIDIO PKWY APT 2126, SAN ANTONIO, TX 78249-3095
- **Mailing address phone:** (210) 571-5663
- **Mailing address fax:** (210) 305-5744

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/03/2018
