Organization
TEXAS PROVIDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA ORTIZ MARIN (PARTNER)
(210) 571-5663
Entity
Organization
Contact information
Practice address
5602 PRESIDIO PKWY APT 2126, SAN ANTONIO, TX 78249-3095
(210) 571-5663
(210) 305-5744
Mailing address
5602 PRESIDIO PKWY APT 2126, SAN ANTONIO, TX 78249-3095
(210) 571-5663
(210) 305-5744
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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