Active NPI
South Texas Provider Agency LLC
- Home Health Agency
- Eagle Pass, TX
National Provider Identifier
1023966124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SOUTH TEXAS PROVIDER AGENCY LLC
- Practice address
- 1540 E Garrison St
Eagle Pass, TX 78852-4930 - Phone
- (830) 335-3445
- NPI assigned
- Mar 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guadalupe Gonzalez
- Title
- Administration
- Phone
- (830) 335-3445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
1540 E Garrison St
Eagle Pass, TX 78852-4930
Mailing address
1540 E Garrison St
Eagle Pass, TX 78852-4930
Phone (830) 335-3445
National Provider Directory
National Provider DirectoryLocations
1540 E Garrison St
Eagle Pass, TX 78852
Phone (830) 335-3445
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1023966124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E GARRISON ST",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524930",
"telephone_number": "830-335-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 E GARRISON ST",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524930",
"telephone_number": "830-335-3445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TEXAS PROVIDER AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "GUADALUPE",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "830-335-3445"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.