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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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Product
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  • Eligibility checks
  • EDI platform