| Organization Name: | DURABLE PVC MEDICAL PRODUCTS LLC |
| NPI Number: | 1063661379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GRISELDA M PEREZ (OWNER) |
| Mailing Address: | 1820 E Griffin Pkwy Ste B Mission |
| State: | TX US |
| Postal Code: | 785723109 |
| Phone Number: | 9565858202 |
| Fax Number: | 9565858203 |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 0105180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |