Healthcare Provider Details

I. General information

NPI: 1417514316
Provider Name (Legal Business Name): A PLUS PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2019
Last Update Date: 05/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7128 ROSSON LN STE 5
LAREDO TX
78041-2012
US

IV. Provider business mailing address

7128 ROSSON LN STE 4
LAREDO TX
78041-2012
US

V. Phone/Fax

Practice location:
  • Phone: 956-480-3902
  • Fax:
Mailing address:
  • Phone: 956-480-3902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JESUS RAMIREZ
Title or Position: ALT. ADMINISTRATOR
Credential: LVN
Phone: 956-480-3902