Organization
SUPERIOR PROVIDER SERVICES
Active
Other names
SUPERIOR PROVIDER SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEGO QUIJANO JR. EMT (ADMINISTARTOR)
(956) 240-4351
Entity
Organization
Contact information
Practice address
848 EAST EXPRESSWAY 83, LA JOYA, TX 78560-4252
(956) 793-7702
(956) 519-0660
Mailing address
PO BOX 487, MISSION, TX 78573-0009
(956) 793-7702
(956) 519-0660
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
10/11/2023
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