MEDICARE: SOUTH TEXAS HEALTH CARE SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	019599	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205821345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH TEXAS HEALTH CARE SYSTEM

Provider Business Mailing Address
First Line	:	1401 S RANGERVILLE RD
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-7638
Country	:	US
Telephone Number	:	956-364-8741
Fax Number	:	956-425-2692

Provider Business Practice Location Address
First Line	:	1401 S RANGERVILLE RD
Second Line	:	OPC PHARMACY - BLDG 504
City	:	HARLINGEN
State	:	TX
Zip	:	78552-7638
Country	:	US
Telephone Number	:	956-364-8741
Fax Number	:	956-425-2692

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MRS. SONIA HERNANDEZ-KEEBLE
Credential	:
Telephone Number	:	956-364-8401

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	08/22/2020

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Directions to “SOUTH TEXAS HEALTH CARE SYSTEM ” Practice Location

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