Healthcare Provider Details

I. General information

NPI: 1679683890
Provider Name (Legal Business Name): SOUTH TEXAS PRIMARY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W HILLSIDE RD STE 8
LAREDO TX
78041-6903
US

IV. Provider business mailing address

220 W HILLSIDE RD STE 8
LAREDO TX
78041-6903
US

V. Phone/Fax

Practice location:
  • Phone: 956-725-3804
  • Fax: 956-725-0182
Mailing address:
  • Phone: 956-725-3804
  • Fax: 956-725-0182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number006398
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. ALFONSO RODRIGUEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-725-3804