MEDICARE: PURELIFE PHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1710811724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURELIFE PHC

Provider Business Mailing Address
First Line	:	5113 N MCCOLL RD # 2
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2331
Country	:	US
Telephone Number	:	956-569-8604
Fax Number	:	210-579-8033

Provider Business Practice Location Address
First Line	:	5113 N MCCOLL RD # 2
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2331
Country	:	US
Telephone Number	:	956-569-8604
Fax Number	:	210-579-8033

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KATHERINE ILEEN GOMEZ
Credential	:
Telephone Number	:	956-569-8604

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “PURELIFE PHC ” Practice Location

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