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General NPI Number Information
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NPI Number | 1194903237
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS ELDERLY SERVICES, INC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 500 E RAMON AYALA DR
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City | HIDALGO
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State | TX
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Zip | 78557-2691
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Country | US
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Telephone | 956-843-2643
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Fax | 956-843-2288
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Provider Business Mailing Address
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Address Line | 500 E RAMON AYALA DR
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City | HIDALGO
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State | TX
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Zip | 78557-2691
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Country | US
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Telephone | 956-843-2643
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Fax | 956-843-2288
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RAYMUNDO MARTINEZ
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Credential |
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Telephone | 956-843-2643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 122232
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License Number State | TX
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