Organization
MYCNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL A FLORES (OWNER)
(281) 383-0017
Entity
Organization
Contact information
Practice address
3309 BERNARD ST, LA PORTE, TX 77571-3827
(281) 383-0017
Mailing address
3309 BERNARD ST, LA PORTE, TX 77571-3827
(281) 383-0017
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/05/2021
Last updated
01/28/2025
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