Organization
GOOD SHEPHERD PRIMARY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACARIA SALINAS EDD (OWNER ADMINISTRATOR)
(956) 262-7445
Entity
Organization
Contact information
Practice address
7981 MILE 17 N, EDCOUCH, TX 78538-2096
(956) 262-7445
(956) 262-0008
Mailing address
7981 MILE 17 N, GOOD SHEPHERD PRIMARY HEALTH CARE LLC, EDCOUCH, TX 78538-2096
(956) 262-7445
(956) 262-0008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011744
TX
251J00000X
Nursing Care Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214371101
—
TX
05
—
214371102
—
TX
05
—
214371103
—
TX
Enumeration date
05/15/2007
Last updated
02/11/2019
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