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General NPI Number Information
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NPI Number | 1043411242
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Entity Type | Organization
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Legal Business Name | ANGELITOS PRIMARY HOME CARE, INC.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 704 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-2922
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Country | US
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Telephone | 956-581-6242
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Fax |
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Provider Business Mailing Address
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Address Line | 704 E GRIFFIN PKWY STE 100
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City | MISSION
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State | TX
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Zip | 78572-2974
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Country | US
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Telephone | 956-581-6242
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Fax | 956-581-9918
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JUAN RAMON PEREZ JR.
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Credential |
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Telephone | 956-581-6242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 006460
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License Number State | TX
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