MEDICARE: THE MEDICAL TEAM, INC

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	251G00000X	Community Based Hospice Care Agency	018357	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
2	74-1765	OTHER	TX	PALMETTO GBA
3	018357	OTHER	TX	TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES DEPARTMENT

General Provider Information

NPI Number	:	1639692239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MEDICAL TEAM, INC

Provider Business Mailing Address
First Line	:	45 NE LOOP 410 STE 800
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-5837
Country	:	US
Telephone Number	:	210-227-9000
Fax Number	:	210-224-2020

Provider Business Practice Location Address
First Line	:	2401 HAINE DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8592
Country	:	US
Telephone Number	:	956-504-9048
Fax Number	:	956-504-9040

Authorized Official
Title or Position	:	CORPORATE ACCOUNTS RECEIVABLE MGR.
Name	:	ANGELIQUE HARRIS
Credential	:
Telephone Number	:	210-227-9000

Provider Enumeration Date	:	07/25/2017
Last Update Date	:	03/20/2026

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