St John's Phc, LLC

NPI #1750674776 in Pharr, Texas

Provider Information

NPI Number: 1750674776
Entity Type: Organization
Organization Name: St John's Phc, LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: May 24, 2011
Last Updated: May 24, 2011

Practice Location

Address: 213 E FERGUSON ST STE B
City: Pharr
State: Texas
ZIP Code: 78577-1827
Phone: (956) 534-5439

Authorized Official

Name: MR. DANIEL CARRASCO
Title: ADMINISTRATOR
Phone: (956) 534-5439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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