Doctor Name: | MR. E. ADRIAN CERVANTES |
NPI Number: | 1053412080 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARM D |
License Number: | 40248 |
Business Practice Address: | 180 N 7th St Raymondville, TX - 785802202 |
Business Phone Number: | 9566896337 |
Business Fax Number: | 9566893500 |
Mailing Address: | 180 N 7th St, RAYMONDVILLE |
State: | TX |
Postal Code: | 785802202 |
Phone Number: | 9566896337 |
Fax Number: | 9566893500 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 40248 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |