| NPI | 1598967861 |
|---|---|
| Doing Business As | SOUTH TEXAS PROVIDER SERVICE |
| Entity Type | Organization |
| Authorized Contact | GUSTAVO GARCIA Administrator 956-969-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: TX 006547) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-12-07 |