Organization
ST JOHN'S PHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CARRASCO (ADMINISTRATOR)
(956) 534-5439
Entity
Organization
Contact information
Practice address
213 E FERGUSON ST STE B, PHARR, TX 78577-1827
(956) 534-5439
Mailing address
213 E FERGUSON ST STE B, PHARR, TX 78577-1827
(956) 534-5439
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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