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Organization
MERIDA HEALTH CARE GROUP OF SAN ANTONIO, LLC
Active
Organization
MERIDA HEALTH CARE GROUP OF SAN ANTONIO, LLC
Active
Other names
Merida Health Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY MESQUIAS RN (OWNER/CEO)
(956) 423-1197
Entity
Organization
Contact information
Practice address
2900 MOSSROCK, SUITE 350, SAN ANTONIO, TX 78230-5135
(210) 923-7800
(210) 923-7801
Mailing address
PO BOX 1230, HARLINGEN, TX 78551-1230
(956) 423-1197
(956) 440-1837
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001004236
MDCP
TX
05
—
024455001
—
TX
01
—
45D0674071
CLIA
—
01
—
53333
MEDICAID DME H
TX
Enumeration date
05/12/2006
Last updated
02/11/2016
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