Provider Demographics
NPI:1891284865
Name:SAINT MICHAEL'S PRIMARY HEALTH CARE,LLC.
Entity Type:Organization
Organization Name:SAINT MICHAEL'S PRIMARY HEALTH CARE,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SANJUANITA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-997-0700
Mailing Address - Street 1:904 DONNA RD
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7941
Mailing Address - Country:US
Mailing Address - Phone:956-997-0700
Mailing Address - Fax:956-997-0699
Practice Address - Street 1:1500 W BUSINESS HIGHWAY 83 STE 102
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3427
Practice Address - Country:US
Practice Address - Phone:956-997-0700
Practice Address - Fax:956-997-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-05
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty