Healthcare Provider Details

I. General information

NPI: 1003727447
Provider Name (Legal Business Name): STAR PROVIDER HEALTH CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5224 N CAGE BLVD STE 3A
PHARR TX
78577-0844
US

IV. Provider business mailing address

5224 N CAGE BLVD STE 3A
PHARR TX
78577-0844
US

V. Phone/Fax

Practice location:
  • Phone: 956-558-0535
  • Fax: 956-884-7046
Mailing address:
  • Phone: 956-558-0535
  • Fax: 956-884-7046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LUIS EDUARDO GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 956-558-0535