MEDICARE: LAS 3 HERMANAS PROVIDER SERVICES

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1417885856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS 3 HERMANAS PROVIDER SERVICES

Provider Business Mailing Address
First Line	:	307 E CARDINAL AVE
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-8507
Country	:	US
Telephone Number	:	956-563-9913
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 E CARDINAL AVE
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-8507
Country	:	US
Telephone Number	:	956-563-9913
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JUAN MANUEL CARREON
Credential	:
Telephone Number	:	956-563-9913

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “LAS 3 HERMANAS PROVIDER SERVICES ” Practice Location

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