Organization
FAMILY PROVIDER SERVICE, LLC.
Active
Other names
SDQ Provider Services
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VILLALOBOS (CEO)
(210) 233-6584
Entity
Organization
Contact information
Practice address
1022 E. GRIFFIN PKWY, MISSION, TX 78572-2401
(210) 233-6584
(210) 750-1283
Mailing address
1022 E. GRIFFIN PKWY, MISSION, TX 78572-2401
(210) 233-6584
(210) 750-1283
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
12/04/2025
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