Organization
MI DESPERTAR PHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA EDITH TREVINO (ADMINISTRATOR)
(956) 573-8047
Entity
Organization
Contact information
Practice address
7208 W EXP 83, STE B UNIT 3, MISSION, TX 78572
(956) 573-8047
Mailing address
2432 E 5TH ST, MISSION, TX 78572-5694
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
04/03/2024
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