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Organization

FE Y ESPERANZA PROVIDER SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW LARA (OWNER)
(956) 997-0900
Entity
Organization

Contact information

Practice address
304 TOLEDO AVE, MISSION, TX 78572-6560
(956) 997-0900
Mailing address
304 TOLEDO AVE, MISSION, TX 78572-6560
(956) 997-0900

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/26/2025
Last updated
12/26/2025
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